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Sigmoid Volvulus Complicating Postpartum Period

Kelsey E Ward1, Erin Blake1, Eduardo Gonzalez2

  • 1Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO, USA.

Case Reports in Obstetrics and Gynecology
|March 3, 2017
PubMed

Background. Sigmoid volvulus is a rare complication of pregnancy and the puerperium. Case. A 19-year-old patient, gravida 1 para 0 at 41 0/7 weeks of gestation, admitted for late-term induction of labor underwent an uncomplicated primary low transverse cesarean delivery for arrest of descent. Her postoperative period was complicated by sudden onset of abdominal pain and the ultimate diagnosis of sigmoid volvulus. Conclusion. Prompt surgical evaluation of an acute abdomen in the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.

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