Author/Authors :
Ghahremani, Sara Department of Pediatrics - Mashhad University of Medical Sciences, Mashhad , Razmjouei, Parisa Department of Gynecology and Obstetrics - Shiraz University of Medical Sciences, Shiraz , Layegh, Parvaneh Department of Radiology - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Tavakolian, Ayoub Faculty of Medicine - Sabzevar University of Medical Sciences, Sabzevar , Ghazanfarpour, Masumeh Razi School of Nursing and Midwifery - Kerman University of Medical Sciences, Kerman , Shoaee, Fatemeh Department of Gynecology and Obstetrics - Shiraz University of Medical Sciences, Shiraz , Moeindarbary, Somayeh Department of Obstetrics and Gynecology - Neonatal and Maternal Research Center - Mashhad University of Medical Sciences, Mashhad
Abstract :
Background Sigmoid volvulus (SV) in pregnancy is a very rare entity, which can be associated with extremely high rates of mortality and morbidity for both mother and fetus. Care Report A 22-year-old female patient with a first pregnancy with a gestational age of 27 weeks was referred to the Omolbanin hospital, Mashhad, Iran, and presented with generalized pain, abdominal swelling, and abnormal bowel movements from a week ago. Intestinal loops with thick wall and fluid content decreased with decrease in peristalsis was seen in abdominal and pelvic ultrasound. In addition, abdominal and pelvic X-ray examination showed enlarged bowel with bent inner tube view. Due to severe abdominal pain and available evidence, she underwent laparotomy for suspected intestinal obstruction. A dilated sigmoid colon rotated about two times around its mesentery was seen adjacent to the pregnant uterus. The sigmoid was detorted and was fixed to the pelvic floor through its mesentery. The patient was discharged 4 days after surgery in good general condition, and her baby was born at 38 weeks of gestation by natural vaginal delivery. Conclusion Sigmoid volvulus during pregnancy is a rare complication. Its timely diagnosis will prevent intestinal gangrene and reduce maternal and fetal damage.
