<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212022000100138</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Malrotación intestinal durante el embarazo: Causa de abdomen agudo oclusivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Intestinal malrotation during pregnancy: Cause of acute occlusive abdomen]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Albiza Sotomayor]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camejo Rodríguez]]></surname>
<given-names><![CDATA[Diurán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán Romero]]></surname>
<given-names><![CDATA[Mayelín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Martín]]></surname>
<given-names><![CDATA[Amelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Provincial Camilo Cienfuegos  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>138</fpage>
<lpage>145</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212022000100138&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212022000100138&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212022000100138&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La malrotación intestinal en una embarazada es infrecuente. La incidencia de la oclusión es baja y los vólvulos son más frecuentes en el tercer trimestre de la gestación. La poca especificidad de los síntomas hace más complejo el diagnóstico temprano y el tratamiento oportuno. La asociación de estas enfermedades se considera potencialmente letal para la madre y el niño.  Objetivo:  Describir el caso de una paciente con oclusión intestinal por vólvulo de intestino delgado y malrotación en el curso del embarazo.  Reporte de caso:  Paciente de 23 años, primigesta, con 24.4 semanas de gestación, con dolores abdominales previos; se recibió en la Unidad de Cuidados Intensivos por sospecha de abdomen agudo en el embarazo. Luego de estudios imagenológicos y de laboratorio se decidió su intervención quirúrgica con el diagnóstico de obstrucción intestinal. El diagnóstico intraoperatorio fue vólvulo de intestino delgado y malrotación intestinal tipo I, se le practicó desvolvulación y operación de Ladd. La evolución fue favorable y se conservó la gestación.  Conclusiones:  La malrotación intestinal complicada con una oclusión en el curso del embarazo es rara y el retraso del diagnóstico puede tener implicaciones desfavorables en la evolución de la madre y su futuro hijo. Las dificultades para el diagnóstico de esta enfermedad es preocupación de la comunidad científica y debe sospecharse en gestantes que presenten síntomas y signos de oclusión intestinal y alteraciones en los estudios imagenológicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Intestinal malrotation in a pregnant woman is uncommon. The incidence of occlusion is low and volvulus are more frequent in the third trimester of pregnancy. The poor symptom specificity makes early diagnosis and treatment more complex prompt. The association of these diseases is considered potentially lethal for mother and child.  Objective:  To describe the case of a patient with intestinal occlusion due to intestinal volvulus thin and malrotation in the course of pregnancy.  Case report: 23-year-old patient, primigravida, with 24.4 weeks of gestation, with previous abdominal pains; She was admitted to the Intensive Care Unit on suspicion of acute abdomen in pregnancy. After imaging and laboratory studies, it was decided her surgical intervention with the diagnosis of intestinal obstruction. The diagnosis intraoperative was small intestine volvulus and type I intestinal malrotation, she underwent devolvulation and operation of Ladd. The evolution was favorable and the pregnancy was preserved.  Conclusions:  Intestinal malrotation complicated by an occlusion in the course of Pregnancy is rare and delayed diagnosis may have unfavorable implications for the evolution of the mother and her future child. Difficulties in diagnosing this disease is a concern of the scientific community and should be suspected in pregnant women who present symptoms and signs of intestinal obstruction and alterations in imaging studies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vólvulo intestinal]]></kwd>
<kwd lng="es"><![CDATA[complicaciones del embarazo y cirugía]]></kwd>
<kwd lng="es"><![CDATA[obstrucción intestinal]]></kwd>
<kwd lng="es"><![CDATA[malrotación intestinal]]></kwd>
<kwd lng="en"><![CDATA[Intestinal volvulus]]></kwd>
<kwd lng="en"><![CDATA[pregnancy complications and surgery]]></kwd>
<kwd lng="en"><![CDATA[intestinal obstruction]]></kwd>
<kwd lng="en"><![CDATA[intestinal malrotation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Etchevers]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Palermo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Salvatore]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Tarsitano]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Villafañe]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Malrotación intestinal en adultos: causa infrecuente de abdomen agudo oclusivo]]></article-title>
<source><![CDATA[Rev Argent Radiol]]></source>
<year>2008</year>
<volume>4</volume>
<numero>72</numero>
<issue>72</issue>
<page-range>435-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Constanthin]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Darouichi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Volvulus of the small bowel due to malrotation during pregnancy: A Case-Report]]></article-title>
<source><![CDATA[J Digest Disord Diag]]></source>
<year>2017</year>
<volume>1</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>34-40</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cong]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Ye]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Jiang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Small bowel volvulus in mid and late pregnancy: ¿can early diagnosis be established to avoid catastrophic outcomes?]]></article-title>
<source><![CDATA[Int J Clin Exp Med]]></source>
<year>2014</year>
<volume>7</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>4538-43</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernando-Almudí]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cerdán-Pascual]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vallejo-Bernad]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-Cuartero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Rubio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Casamayor-Franco]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adult intestinal malrotation associated with intestinal volvulus]]></article-title>
<source><![CDATA[Cirugía y Cirujanos]]></source>
<year>2017</year>
<volume>85</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>424-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallarín]]></surname>
<given-names><![CDATA[SI]]></given-names>
</name>
<name>
<surname><![CDATA[Espin]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[PÁ]]></given-names>
</name>
<name>
<surname><![CDATA[Salas]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Malrotación intestinal inusual en paciente adulto]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2016</year>
<volume>94</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21-3</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vassiliou]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Tympa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Derpapas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kottis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vlahos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Small bowel ischemia due to jejunum volvulus in pregnancy: a case report]]></article-title>
<source><![CDATA[Case Rep Obstet Gynecol]]></source>
<year>2012</year>
<volume>2012</volume>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aftab]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Abdelaal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dasovky]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gehani]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mola]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature]]></article-title>
<source><![CDATA[World J Emerg Surg]]></source>
<year>2014</year>
<volume>9</volume>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hwang]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Na]]></surname>
<given-names><![CDATA[YS]]></given-names>
</name>
<name>
<surname><![CDATA[Cho]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[You]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Midgut volvulus as a complication of intestinal malrotation in a term pregnancy]]></article-title>
<source><![CDATA[Korean J Anesthesiol]]></source>
<year>2014</year>
<volume>7</volume>
<numero>^sSuppl</numero>
<issue>^sSuppl</issue>
<supplement>Suppl</supplement>
<page-range>S98-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nameirakpam]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Keishing]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Laishram]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Devi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Small Intestine Ischaemia due to Volvulus during Pregnancy]]></article-title>
<source><![CDATA[J Clin Diagn Res]]></source>
<year>2014</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>ND01-2</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
