Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

The great importance in the development of acute intestinal obstruction (AIO) is change kinetics during pregnancy. In pregnant women, rhythmic function intestine slows down due to an increase threshold excitability its receptors biologically active substances. article provides overview modern literary sources on problem women. According foreign literature sources, incidence women 1:3600–1:66000, and complications diseases digestive system rank 4th among causes maternal mortality pregnancy — 9%. domestic scientific frequency with which occurs 1:40000–1:50000 births, reaches 35–50%, stillbirth 60–75%. disease caused by physiological changes body a woman. With increasing gestational age there are anatomical arrangement abdominal organs. From second trimester pregnancy, uterus extends beyond pelvis gradually occupies entire cavity. size hypertrophy hyperplasia muscle fibers, amniotic fluid, fetal growth, leads increased intraabdominal pressure, displacement small lumbar colon up, thereby creating conditions for compression loops, nodules, development. classification, clinic, diagnostics methods treatment this surgical pathology presented. author presents his own clinical case 51-year-old woman sixth desired occurred as result assisted reproductive technologies large intergenetic interval. Both surgeon obstetrician-gynecologist treat Conservative carried out simultaneously diagnostic procedures. No effect conservative therapy 2 hours indication surgery. main purpose surgery eliminate restore bowel function. scope determined each individually depends type AIO disease. chosen tactics preoperative period, volume surgery, anesthesia adequate management postoperative period can cure pathology, maintain avoid obstetric purulent-septic complications. research was accordance principles Helsinki declaration. informed consent patient obtained conducting studies. conflict interest declared authors. Key words: sharp obstruction, extracorporal impregnation, intergenic