Volvulus of the Sigmoid Colon during Pregnancy: A Case Report.

Case Reports in Obstetrics and Gynecology
Enzo Fabrício Ribeiro NascimentoCarlos Augusto Real Martinez

Abstract

Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was admitted with 3 days of abdominal distention, vomit, and the stoppage of the passage of gases and feces. She was admitted with poor clinical conditions with septic shock, acute respiratory distress syndrome, and signs of diffuse peritonitis. Abdominal radiography showed severe dilation of the colon with horseshoe signal suggesting a sigmoid volvulus, pneumoperitoneum and we could not we could not identify fetal heartbeats. With a diagnosis of complicate sigmoid volvulus she was underwent to the laparotomy where we found necrosis of all descending colon due to double twist volvulus of the sigmoid. We performed a colectomy with a confection of a proximal colostomy, and closing of the rectal stump. Due to an uncontrollable uterine bleeding during cesarean due, it was required a hysterectomy. The patient had an uneventful postoperative course thereafter and was discharged on a regular diet on the 15th postoperative day.

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Citations

Dec 21, 2013·The American Journal of Emergency Medicine·Anis AhmadVui Heng Chong
Nov 10, 2015·International Journal of Surgery Case Reports·Ahmed M Al MaksoudMohamed M Moneer
Aug 16, 2016·Clinical Case Reports·Costas SerafeimidisRonal Kumar
Jul 7, 2016·Journal of Surgical Case Reports·Emilie JoyeuxPaul Sagot
Dec 1, 2016·Pleura and Peritoneum·Wiebke SolassFrank-Jürgen Weinreich
Mar 23, 2021·Case Reports in Obstetrics and Gynecology·Angela J StephensEleazar E Soto

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Methods Mentioned

BETA
cesarean section
hysterectomy

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