n South African Journal of Surgery - Sigmoid volvulus in pregnancy : case report
|Article Title||Sigmoid volvulus in pregnancy : case report|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Affiliations||1 Gabriel Toure Hospital, Mali, 2 Gabriel Toure Hospital, Mali, 3 Gabriel Toure Hospital, Mali, 4 Gabriel Toure Hospital, Mali and 5 Gabriel Toure Hospital, Mali|
|Publication Date||Nov 2011|
|Pages||204 - 205|
A 27-year-old woman, gravida 1, was seen at our surgical emergency department with abdominal pain at 25 weeks' gestation. She had pain, nausea and vomiting, a temperature of 37°C and a blood pressure of 100/70 mmHg. The cervix was closed, and an ultrasound scan showed a normal single fetus. A plain abdominal radiograph showed distension of the colon and a sigmoid volvulus. At emergency laparotomy, non-gangrenous sigmoid colon was resected with primary anastomosis. There were no complications, and 4 months later the patient delivered a healthy infant.
Early diagnosis of sigmoid volvulus in pregnancy and prompt intervention minimise maternal and fetal morbidity and mortality.
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