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

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
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2025-08-19 08:53
Publish the Manuscript Online	2025-08-28 09:39

ISSN	2307-8960 (online)
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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
ORCID	Author(s) ORCID Number Felix Pius Omullo http://orcid.org/0009-0007-7431-1310 Odenyo Stella Anyango http://orcid.org/0009-0008-4673-0291 Benard Munyao Mutua http://orcid.org/0009-0001-2499-4623 Mike Onyango Odoyo http://orcid.org/0009-0000-9796-5615 Harambee Moses Gogo http://orcid.org/0009-0006-7585-3421 Victor Omondi Obung'a http://orcid.org/0009-0008-3264-8289
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.
Publish Date	2025-08-28 09:39
Citation	<p>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. <i>World J Clin Cases</i> 2025; 13(29): 109406</p>
URL	https://www.wjgnet.com/2307-8960/full/v13/i29/109406.htm
DOI	https://dx.doi.org/10.12998/wjcc.v13.i29.109406

Full Article (PDF)	WJCC-13-109406-with-cover.pdf
CARE Checklist–2016	109406-CARE-Checklist-2016.pdf
Manuscript File	109406_Auto_Edited_062353.docx
Answering Reviewers	109406-answering-reviewers.pdf
Audio Core Tip	109406-audio.aac
Conflict-of-Interest Disclosure Form	109406-conflict-of-interest-statement.pdf
Copyright License Agreement	109406-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s)	109406-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate	109406-non-native-speakers.pdf
Peer-review Report	109406-peer-reviews.pdf
Scientific Misconduct Check	109406-scientific-misconduct-check.png
Scientific Editor Work List	109406-scientific-editor-work-list.pdf
CrossCheck Report	109406-crosscheck-report.pdf