DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20160904

A rare case of sigmoid volvulus complicating pregnancy in a Tertiary care centre: a case report

Rajarajeswari Ramalingam, Soundarajan Pradiba, Antony Michael

Abstract


Intestinal obstruction complicating pregnancy is an extremely rare complication during pregnancy. Volvulus of the sigmoid colon is the most common cause of intestinal obstruction complicating pregnancy accounting for upto 44% of the aetiology. We report a case of sigmoid volvulus complicating pregnancy in a woman with 34 weeks amenorrhoea which was diagnosed early in spite of its late presentation and successfully managed with resection and primary anastamosis. Sigmoid volvulus complicating pregnancy carries a high maternal mortality and morbidity, fetal mortality and needs a high index of suspicion and early surgical intervention.

Keywords


Sigmoid colon, Volvulus, Pregnancy

Full Text:

PDF

References


Atamanalp SS, Ozturk G. Sigmoid volvulus in pregnancy. Turk J Med Sci. 2012;42:9-15.

Weingrow D, McCague A, Shah R, Laiezarzadeh F, Delayed presentation of sigmoid volvulus in a young woman. West J Emerg Med. 2012:13(1):100-2.

Raveenthiram V, Matiba TE, Atamanalp SS, De U. Volvolus of the sigmoid colon. Colorectal Dis. 2010;12(7):e1-17.

Aishawi JS. Recurrent sigmoid volvulus in pregnancy; report of a case and review of the literature. Dis Colon Rectum. 2005;48:1811-3.

Perdue PW, Johnson HW Jr, Stafford PW. Intestinal obstruction during pregnancy. Am J Surg. 1992;164:384-8.

De U, De KK, Sigmoid volvulus complicating pregnancy. Indian J Med Sci. 2005;59:317-9.

Hofmeyr GJ, Sonnendecker EWW. Sigmoid volvulus in advanced pregnancy. Report of 2 cases. S Afr Jed J. 1985;67:63-4.

Vo TM, Gyaneshwar R, Mayer C. Concurrent sigmoid volvulus and hernation through broad ligament defect during pregfnancy: A case report and literature review. J Obstet Gynaecol. 2008;34:658-62.

Atamanalp SS. Sigmoid volvulus complicating pregnancy. A case report Eurasian J Med 2015;47:75-6.

Kolusari A, Kurdoglu M, Adali E. Sigmoid volvulus in pregnancy and puerperium: a case series. Cases Journal. 2009;2(9):9275.

Ballantyne GH, Brandner MD. Volvulus of the colon. Incidence and mortality. Annals of Surgery. 1985;202(1):83-92.

Alshawi JS. Recurrent sigmoid volvulus in pregnancy: report of a case and review of the literature. Diseases of the Colon and Rectum. 2005;48(9):1811-3.

Karam PA. Determining and reporting fetal radiation exposure from diagnostic radiation. Health Phys. 2000;79:S85-90.

Atamanalp SS. Sigmoid Volvulus; diagnosis in 938 patients over 45.5 years. Tech Coloproctol. 2013;17:419-24

Atamanalp SS, Kantarct M, Ayclinli B. The diagnostic efficiency of CT and MRI in ileosigmoid knotting. Turk J Med Sci. 2014;44:1134-5.

Palmucci S, Lanza ML, Gulino F, Scilletta B. Daignosis of a sigmoid volvulus in pregnancy: ultrasonography and magnetic resonance imaging findings. J.Radiol Case Rep. 2014;8(2):54-62.

Aftab Z, Toro A, Abdelaal, Dasovky M, Gehani S, Abdul Mola A. Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature. World J Emerg Surg. 2014;9:41.

Safioleas M, Chatziconstantinou C. Clinical considerations and therapeutic strategy for sigmoid volvulus in the elderly: a study of 33 cases. World Journal of Gastroenterology. 2007;13(6):921-4.

Machado NO, Machado L. Sigmoid volvulus complicating pregnancy managed by resection and primary anastamosis. Case report with literature review. Sulthan Qaboos University Medical Scienses Journal. 2009;9:84-8.

Al Maksoud AM, Barsoum AK, Moneer MM. Sigmoid volvulus during pregnancy; A rare non-obstetric complication. Report of a case and review of the literature. Int J Surg Case Repl. 2015;17:61-4.

Redlich A, Rickes S, Costa SD. Small bowel obstruction in pregnancy. Archives of Gynecology and Obstetrics. 2007;275(5):381-3.

Fraser JL, Eckert La. Volvulus complicating pregnancy. Canadian Medical Association Journal. 1983;128(9):1045-8.

Perez Assef A, Acevedo Rodriguez O. Characterization of obstetric patients with multiple organ failure in the intestive care unit of a Havana Teaching Hospital, 1998 to 2006. MEDICC Review. 2010;12(2):27-32.