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Caecal volvulus following a complicated caesarean section

Julie Isabelle Plougmann Gislinge1, Cecilie Johanne Scheuer2, Camilla Hauge Toustrup2

  • 1Gynecology, Obstetrics and Fertility, Copenhagen University Hospital, Herlev Hospital, Herlev, Denmark julie.isabelle.plougmann@regionh.dk.

BMJ Case Reports
|August 22, 2023
PubMed

A caecal volvulus is a rare, but severe complication to a caesarean section, with serious risks of perforation, necrosis and peritonitis. We describe a case of a Middle Eastern woman admitted for an elective caesarean section due to a history of three cesareans in her home country. The operation was complicated by massive adhesions and a postpartum bleed of 1750 mL. She developed severe abdominal pain refractory to strong pain medication postoperatively. She was diagnosed with a caecal volvulus without perforation on CT, which was confirmed by laparotomy. The patient was treated with a hemicolectomy and made a full recovery.

Keywords:
Gastrointestinal surgeryPregnancy

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