Fatal small bowel perforation complicating intestinal obstruction in pregnancy: A case report

Table 5 Summary of literature reporting outcomes of intestinal obstruction in pregnancy

Ref.	Key findings	Management	Outcome
Shen et al[15], 2023	IO at 34 weeks of gestation presenting as uterine perforation	Initial conservative treatment failed. Emergency cesarean section followed by surgical repair of uterine rupture	Maternal recovery; fetal outcome not specified
Zhao et al[16], 2020	IO due to reverse rotation of the midgut at 26 weeks of gestation; rare anatomical cause	Surgical correction via laparotomy	Both mother and fetus had favorable outcomes
Daimon et al[17], 2016	IO at 20 weeks of gestation due to adhesions	Laparotomy after failure of conservative treatment	Both mother and fetus recovered well
Loukopoulos et al[18], 2022	IO at 30 weeks gestation presenting with atypical symptoms; initial misdiagnosis	Laparotomy after correct diagnosis	Successful outcomes for both mother and fetus
Current case	G2P1 woman at 28 weeks with IO due to adhesions post-laparotomy; delayed presentation. Initial ultrasound	Laparotomy after > 72 hours; found perforation and contamination. Spontaneous miscarriage, anastomotic leak	Fetal and maternal mortality

IO: Intestinal obstruction; G: Gravida; P: Para.