Recurrent Volvulus during Pregnancy: Case Report and Review of the Literature
Layan Alrahmani1, Jaclyn Rivington2, Carl H Rose1
1Mayo Clinic, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, 200 First St. SW, Rochester, MN 55905, USA.
Introduction:
Sigmoid colon volvulus (SV) represents the most common etiology of antepartum gastrointestinal obstruction, with repetitive antepartum episodes rarely reported.
Case Presentation:
A 25-year-old multiparous patient with history of SV at 26 weeks in her previous pregnancy presented with recurrent episodes of SV at 32 0/7, 32 4/7, 37 0/7, and 38 1/7 weeks successfully managed with colonoscopic decompression. Labor was successfully induced at 38 4/7 weeks, and she experienced two further episodes on postpartum days #1 and #32 also treated with colonoscopic decompression, followed by laparoscopic resection.
Conclusion:
Successful treatment of antepartum SV with colonoscopic decompression does not preclude recurrence later in gestation and in future pregnancies.
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