Publication Name	World Journal of Clinical Cases
Manuscript ID	109406
Country	Kenya

Category	Obstetrics & Gynecology
Manuscript Type	Case Report
Article Title	Fatal small bowel perforation complicating intestinal obstruction in pregnancy: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Felix Pius Omullo, Odenyo Stella Anyango, Benard Munyao Mutua, Mike Onyango Odoyo, Harambee Moses Gogo and Victor Omondi Obung'a
Funding Agency and Grant Number
Corresponding Author	Felix Pius Omullo, MD, Researcher, Department of Surgery, Murang’a County Referral Hospital, Kiharu Township, Murang'a 10200, Central, Kenya. piuskirasia@gmail.com
Key Words	Intestinal obstruction; Pregnancy; Adhesions; Small bowel perforation; Maternal mortality; Case report
Core Tip	Intestinal obstruction in pregnancy, though rare, carries catastrophic risks - including a 20%-30% maternal mortality rate when complicated by perforation. We present a tragic case of small bowel obstruction in a 25-year-old woman at 28 weeks of gestation, leading to perforation, sepsis, fetal loss, and maternal death. This case underscores three critical lessons: (1) Abdominal pain in pregnancy with a surgical history demands immediate imaging (low-dose computed tomography/Magnetic resonance imaging if ultrasound equivocal); (2) Multidisciplinary teams must collaborate for time-sensitive interventions; and (3) Delayed surgery beyond 24 hours of symptoms increases mortality risk.
Citation	Omullo FP, Anyango OS, Mutua BM, Odoyo MO, Gogo HM, Obung'a VO. Fatal small bowel perforation complicating intestinal obstruction in pregnancy: A case report. World J Clin Cases 2025; In press

Received	2025-05-16 07:56
Peer-Review Started	2025-05-16 07:56
To Make the First Decision
Return for Revision	2025-05-26 04:32
Revised	2025-06-24 20:51
Second Decision	2025-08-08 02:43
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-08-08 09:13
Articles in Press	2025-08-08 09:13
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Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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