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Related Experiment Videos

Sigmoid volvulus in late pregnancy.

J P Keating, D S Jackson

    Journal of the Royal Army Medical Corps
    |June 1, 1985
    PubMed
    Summary

    Sigmoid volvulus, a rare complication in late pregnancy, can cause intestinal obstruction. This case highlights surgical management in a 34-week pregnant patient.

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    Area of Science:

    • Obstetrics and Gynecology
    • Gastroenterology
    • Surgical Case Reports

    Background:

    • Sigmoid volvulus is a rare cause of intestinal obstruction.
    • Late pregnancy presents unique challenges for managing abdominal emergencies.
    • Prompt diagnosis and surgical intervention are crucial for maternal and fetal outcomes.

    Observation:

    • A 35-year-old Caucasian woman at 34 weeks gestation presented with symptoms of intestinal obstruction.
    • Clinical presentation mimicked common third-trimester pregnancy discomforts, delaying diagnosis.

    Findings:

    • The patient was diagnosed with sigmoid volvulus.
    • Surgical intervention was successfully performed, involving detorsion and sigmoid resection with primary anastomosis.
    • Postoperative recovery was uneventful for both mother and fetus.

    Implications:

    • This case underscores the importance of considering uncommon diagnoses like sigmoid volvulus in pregnant patients with obstructive symptoms.
    • Early surgical consultation and management are vital for favorable outcomes in pregnancy-related intestinal emergencies.
    • Further research into non-operative management strategies for sigmoid volvulus in pregnancy may be warranted.

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