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Case report highlights diagnostic challenges and management strategies for small bowel obstruction in twin pregnancy, suggesting the need for timely intervention.
Small bowel obstruction (SBO) in pregnancy is rare but serious, presenting a diagnostic challenge due to symptom overlap with common gestational conditions and hesitancy around radiologic imaging. We describe a case of progressive, subacute SBO in a 46-year-old woman with dichorionic diamniotic twins and a history of caesarean section. The case culminated in bowel perforation, emergency laparotomy, and preterm delivery. This case highlights the need for early recognition, appropriate imaging, and multidisciplinary management to minimize maternal and foetal morbidity.
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Lau et al. (2026) studied this question.
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