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Sigmoid volvulus in pregnancy: a case report.

Jay Lodhia1,2, Joachim Magoma3, Joylene Tendai3

  • 1Department of General Surgery, Kilimanjaro Christian Medical Centre, P O Box 3010, Moshi, Tanzania. jaylodhia06@gmail.com.

Journal of Medical Case Reports
|November 10, 2021
PubMed
Summary

Sigmoid volvulus in pregnancy, a rare cause of intestinal obstruction, can lead to severe complications. Early diagnosis and intervention are crucial for better maternal and fetal outcomes in pregnancy.

Keywords:
Intestinal obstructionPregnancySigmoid volvulusTanzania

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Background:

  • Sigmoid volvulus during pregnancy presents a rare but serious cause of intestinal obstruction.
  • Delayed diagnosis and management are associated with high maternal and fetal morbidity and mortality rates.

Observation:

  • A 29-year-old pregnant patient at 24 weeks gestation presented with symptoms of intestinal obstruction.
  • Emergency laparotomy revealed gangrenous sigmoid volvulus, necessitating resection and Hartmann's colostomy.

Findings:

  • The patient experienced intrauterine fetal demise post-operatively.
  • Despite the fetal loss, the patient was discharged in stable clinical condition.

Implications:

  • Prompt diagnosis and surgical management are vital to prevent complications like bowel ischemia and preterm labor.
  • A high index of clinical suspicion is essential due to potentially non-specific clinical and radiological findings in pregnant patients.