Sigmoid volvulus in pregnancy: a case report

Journal of Medical Case Reports

Joachim Magoma¹  Joylene Tendai¹  Jamil Suleiman¹  David Msuya²  Kondo Chilonga²  Jay Lodhia² 

[1] Department of General Surgery, Kilimanjaro Christian Medical Centre, P O Box 3010, Moshi, Tanzania;Department of General Surgery, Kilimanjaro Christian Medical Centre, P O Box 3010, Moshi, Tanzania;Kilimanja Christian Medical University College, P O Box 2240, Moshi, Tanzania;

关键词: Intestinal obstruction;    Pregnancy;    Sigmoid volvulus;    Tanzania;   

DOI  :  10.1186/s13256-021-03151-3

来源: Springer

【 摘 要 】

IntroductionSigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity and mortality if not diagnosed and managed early.Case presentationA 29-year-old female (Chagga by tribe) presented with clinical features of intestinal obstruction 24 weeks into her second pregnancy. She had symptoms for one week. An emergency laparotomy was performed whereby gangrenous sigmoid volvulus was found; thus, it was resected and Hartmann’s colostomy was raised. Unfortunately, she experienced intrauterine fetal death post-operatively. She was discharged clinically stable.ConclusionEarly diagnosis and management can prevent adverse effects such as bowel ischemia and preterm labor. Because classic clinical and radiological features may not be evident, high degree of suspicion is warranted.

【 授权许可】

CC BY