Pregnancy with sigmoid volvulus: A case report with literature review
| Autor: | Kamal Ahuja, Mazin Abdulla Arif, Ilham Hamdi, Hansa Dhar, Eman Alyon Nimre, Shreen Ayesha Khan |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Constipation medicine.medical_treatment lcsh:Medicine Case Report rectal decompression Nasogastric Decompression lcsh:Gynecology and obstetrics laparotomy Laparotomy parasitic diseases medicine Surgical emergency bowel obstruction lcsh:RG1-991 endoscopic reduction Sigmoid volvulus business.industry lcsh:R Obstetrics and Gynecology Abdominal distension medicine.disease digestive system diseases Surgery Bowel obstruction gangrenous bowel Vomiting medicine.symptom business |
| Zdroj: | Turkish Journal of Obstetrics and Gynecology Turkish Journal of Obstetrics and Gynecology, Vol 12, Iss 2, Pp 114-117 (2015) |
| ISSN: | 1307-699X |
| DOI: | 10.4274/tjod.32767 |
| Popis: | Sigmoid volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction and ischemic changes. Sigmoid volvulus is an acute surgical emergency because delay in diagnosis and management can cause adverse maternal and fetal complications. Sigmoid volvulus typically presents with acute-on-chronic abdominal distension that may develop slowly over 3-4 days. An early and effective resuscitation with fluid replacement, electrolyte balance correction, prophylactic antibiotics and nasogastric decompression is necessary. The standard goals of treatment are to relieve the obstruction, avoid colonic ischemia, and prevent recurrence either by endoscopic decompression or resection with primary anastomosis. A pregnant woman with sigmoid volvulus at 34 weeks and 1 day of gestation presented to our hospital with abdominal pain, vomiting, and constipation. The patient was jointly surgically managed with laparotomy, cesarean section, and detorsion of the sigmoid volvulus, and was discharged in a healthy state on the 5th postoperative day. |
| Databáze: | OpenAIRE |
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