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KMID : 0358420100530060525
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Korean Journal of Obstetrics and Gynecology
2010 Volume.53 No. 6 p.525 ~ p.530
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A case of small bowel obstruction with elevated aspartate transaminase/alanine transaminase (AST/ALT) in the third trimester of pregnancy
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Park Jun-Ho
Yoon Sang-Ho
Jeon Dong-Su
Yang Hyun-Sung
Lee Chae-Hyeong
Park Hyun-Soo
Min Eung-Gi
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Abstract
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The intestinal obstruction during pregnancy is rare but early diagnosis and treatment is essential. This disease can be diagnosed very late because the presenting symptoms such as nausea, vomiting and abdominal pain are often seen in normal pregnancies and most pregnant women avoid radiologic examinations. Moreover, this disease can be accompanied by high aspartate transaminase/alanine transaminase (AST/ALT) which can be also found in acute fatty liver of pregnancy or preeclampsia, and it makes diagnosis to be much delayed. If the diagnosis were delayed much, maternal and perinatal mortality would be increased highly. Therefore, the previous record of abdominal surgery or above mentioned symptom should be considered as the intestinal obstruction, and simple abdominal x?ray for early diagnosis and prompt operation step are critical. We present a case of small bowel obstruction accompanied with high AST/ALT during pregnancy which had the history of previous cesarean section with a brief review of the literature.
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KEYWORD
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Intestinal obstruction, Pregnancy, Fatty liver
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