Small bowel volvulus in pregnancy with associated superior mesenteric artery Occlusion

Publication date: Available online 16 January 2017
Source:Clinical Imaging
Author(s): Yonah B. Esterson, Robert Villani, Ronald A. Dela Cruz, Barak Friedman, Gregory M. Grimaldi
Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization.Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20 years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.



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