Recurrent Sigmoid Volvulus in Pregnancy: Case Report.

Abstract

Sigmoid volvulus in pregnancy is a rare condition occurring during the third trimester with a high recurrence rate and having fatal complications to both fetus and mother. It requires a prompt diagnosis and multidisciplinary approach. We present a case of a 33 year old, pregnant woman, Gravida 4, Para 3, at 32 weeks of gestation, who presented with abdominal pain, distension, and tenderness. A Plain abdominal X-ray showed a dilated loop of the sigmoid colon. This was her second admission with similar symptoms. Having previously diagnosed with sigmoid volvulus one month earlier, she was treated conservatively, recovered, and discharged. On this admission she was diagnosed with recurrent sigmoid volvulus, after stabilization she underwent laparotomy which revealed sigmoid colon volvulus at 180 degrees twist. A resection of redundant sigmoid was done, resulting in uneventful postoperative care, discharge, and follow-up. A timely diagnosis and surgical interventions, especially through a multidisciplinary approach during late gestation can lead to favorable outcome for the baby and mother.