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Volume 8
Gynecology & Obstetrics
ISSN: 2161-0932
Gynecology 2018
October 08-10, 2018
October 08-10, 2018 | Zurich, Switzerland
5
th
International Conference on
Gynecology and Obstetrics
Spontaneous acute intussusception in a pregnant woman: Clinical and therapeutic particularity
Radhouane Achour
Tunis-El Manar University, Tunisia
A
cute intussusception in adults is rare and particularly so in pregnant women. Its incidence ranges from 0.067% to 0.0015%.
The non-specific presenting symptoms may be attributed to the pregnancy itself, making the diagnosis difficult. When
it happens, however, it causes considerable morbidity and mortality for the pregnant woman and the fetus. In adults, such
intussusceptions are mainly secondary to an intestinal disease and frequently a tumor. We present the case of a 21-year old
pregnant woman at nine weeks of gestation, gravida one para one, without medical history, was admitted with sudden start,
permanent and paroxysmal pelvic pain two days prior to admission associated with rectorrhagia. She denied metrorrhagia,
nausea, vomit, constipation or fever. The abdominopelvic ultrasound examination found an evolutive pregnancy at nine weeks
of gestation with adnexal mass with ring of fire sign and a small amount of fluid in the cul-de-sac. An emergency surgery was
performed by laparoscopy. Histology of the resected bowel segment ileocecal intussusceptions without evidence of malignancy.
In summary, intussusception in pregnancy is a rare condition. The combined expertise of the obstetrician, radiologist, and
surgeon are needed to manage the pregnant patient.
Biography
Radhouane Achour is an Associate Professor at Faculty of Medicine of Tunis, Tunisia. He has published many basic and clinical articles in relation to gynecology and
obstetrics. His research interests include “Rare diseases in gynecology and prenatal diagnosis”. He serves as an Associate Professor in Emergency Department
of Gynecology and Obstetrics at Maternity and Neonatology Center Tunis; Faculty of Medicine of Tunis-El Manar University of Tunis-Tunisia. He also serves as
Editorial Team Member of the
Asian Pacific Journal of Reproduction, Global Journal of Rare Diseases, Journal of Neonatal Biology
and member of The Science
Advisory Board.
Radhouane.A@live.comRadhouane Achour, Gynecol Obstet 2018, Volume 8
DOI: 10.4172/2161-0932-C4-033