Recurrent sigmoid volvulus: Cause of colon perforation, sepsis, and fetal death.
intrapartum fetal assessment
obstetric complications
obstetrics
obstetrics: fetal assessment
primary care
stillbirth
surgery
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
12
02
2021
received:
13
01
2021
accepted:
09
03
2021
pubmed:
23
3
2021
medline:
22
6
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
Sigmoid volvulus is one of the most common reasons for intestinal obstruction. Recurrent sigmoid volvulus occurred in only a few cases. Torsion of the sigmoid colon around the mesenteric portion initiates ischemia, gangrene, and perforation. Here, we presented a case with recurrent sigmoid volvulus. A 19-year-old Syrian refugee has been admitted to emergency room during 30th gestation week with acute abdomen, constipation, and lack of gas passage. She had a medical history of rectosigmoidoscopy and detorsion of sigmoid volvulus 6 days ago. Her vital signs showed tachycardia, hypotension, and tachypne, and her body temperature was 35.6°C. Sonography revealed nonviable fetus. Emergency laparotomy has been performed. Sigmoid volvulus and contaminated intraperitoneal area with feces was evaluated. A cesarean section, total colectomy, and end-ileostomy have been performed. Patient stayed 3 days in intensive care unit and was discharged on the 17th day. Sigmoid volvulus is a real emergency. Delayed treatment of sigmoid volvulus is related to maternal and fetal mortality.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2230-2233Informations de copyright
© 2021 Japan Society of Obstetrics and Gynecology.
Références
Alrahmani L, Rivington J, Rose CH. Recurrent volvulus during pregnancy: case report and review of the literature. Case Rep Obstet Gynecol. 2018;2018:1-5.
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 Rep. 2015;17:61-4.
Khan MR, Ur Rehman S. Sigmoid volvulus in pregnancy and puerperium: a surgical and obstetric catastrophe. Report of a case and review of the world literature. World J Emerg Surg. 2012;7(1):10.
Aftab Z, Toro A, Abdelaal A, Dasovky M, Gehani S, Mola AA, et al. 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(1):41.
Harer WB. Volvulus complicating pregnancy and puerperium: report of three cases and review of literature. Obstet Gynecol. 1958;12(4):399-406.
Madiba T, Aldous C, Haffajee M. The morphology of the foetal sigmoid colon in the African population: a possible predisposition to sigmoid volvulus. Colorectal Dis. 2015;17(12):1114-20.
Vogel JD, Feingold DL, Stewart DB, Turner JS, Boutros M, Chun J, et al. Clinical practice guidelines for colon volvulus and acute colonic pseudo-obstruction. Dis Colon Rectum. 2016;59(7):589-600.