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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Mechanical intestinal obstruction during pregnancy is an extremely rare and dangerous complication. It refers mostly to small intestine. The cause of occurring this complication are previous operations and inflammations and one of their results: adhesions. The classical triad of symptoms stomachaches, vomiting, stop of fases and stool--are to seen very rarely in there pure form during pregnancy. These symptoms while occurring individually often accompany pregnancy. The diagnosis of the mechanical obstruction, independently on the size of pregnancy and the cause of affection, authorize to operational treatment. Opening of the abdominal cavity should be done by inferior medial section. The purpose of this operation is removing the cause of obstruction, decompression of the intestine, restitution of passage and preventing renewal of obstruction. The decision of simultaneous cesarean section must make allowances for the state of fetus, neonatal treatment facilities, sizes of the obstruction and general state of the pregnant. The cause of closing down the lumen of the intestine are adhesions in 60%, and more than a half of obstruction cases refers to the 3rd trimester of pregnancy. The death rate of mothers is 10-20% and of fetus 24-31%. A favourable prognosis for the mother of the child can be assured only by early diagnosis and early operational treatment.
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PMID:[Mechanical ileus in pregnancy]. 179 67

Three women aged 74, 59 and 36 years, had chronic complaints of abdominal pain, nausea, vomiting and diarrhoea, 1 to 8 years after radiotherapy for pelvic malignancies. Mechanical ileus due to fibrotic adhesions was found to be the cause; all three patients recovered after one or more operations. The prevalence of chronic radiation injury correlates with both radiation factors (volume) and patient characteristics. If possible, tumour recurrence needs to be excluded. Chronic intermittent ileus is the predominant symptom of chronic radiation injury. It often occurs within 2 years, but sometimes as long as 10 to 20 years after radiotherapy. Resection is warranted when short segments are affected. In other cases an intestinal bypass or stoma is the treatment of choice.
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PMID:[Chronic radiation enteritis after irradiation of the lesser pelvis: surgical (im)possibilities]. 1247 47