Endoscopic Decompression of Recurrent Sigmoid Volvulus in Pregnancy.
Nathaly Cortez1, Manuel Berzosa1, Kiranmayi Muddasani1
1Mount Sinai Medical Center, Miami, FL, USA.
Journal of Investigative Medicine High Impact Case Reports
|November 26, 2020
Summary
Recurrent sigmoid volvulus during pregnancy is rare but manageable. This case highlights successful endoscopic decompression, ensuring positive maternal and fetal outcomes with prompt medical intervention.
Area of Science:
- Obstetrics and Gynecology
- Gastroenterology
- Surgical Case Reports
Background:
- Sigmoid volvulus, a rare condition during pregnancy, poses significant risks to both mother and fetus.
- Prompt diagnosis and management are crucial to mitigate high morbidity and mortality rates.
Observation:
- A 26-year-old primigravida in her third trimester experienced recurrent sigmoid volvulus at 30 and 32 weeks gestation.
- The patient presented with symptoms necessitating immediate medical attention.
Findings:
- Successful repetitive endoscopic decompression was performed on both occasions.
- The patient experienced an uneventful recovery following the procedures.
- Endoscopic evaluation proved safe and effective for diagnosis and complication assessment in this pregnant patient.
Implications:
- Endoscopic decompression is a viable and safe treatment option for sigmoid volvulus in pregnancy.
- A multidisciplinary team approach is essential for successful management and positive outcomes.
- This case underscores the importance of considering endoscopic interventions in obstetric emergencies.
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