Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review

Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pregnancy. The rarity of the condition and the fact that pregnancy itself clouds the clinical picture invariably leads to a delay in diagnosis with an increased risk of gangrene of the gut. The majority of these patients would...

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Main Authors: Norman O Machado, Lovina S M Machado
Format: Article
Language:English
Published: Sultan Qaboos University 2009-04-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1407
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author Norman O Machado
Lovina S M Machado
author_facet Norman O Machado
Lovina S M Machado
author_sort Norman O Machado
collection DOAJ
description Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pregnancy. The rarity of the condition and the fact that pregnancy itself clouds the clinical picture invariably leads to a delay in diagnosis with an increased risk of gangrene of the gut. The majority of these patients would then require resection and colostomy. However, an early diagnosis and intervention as in our patient, which would require a high index of clinical suspicion, could significantly improve the outcome of the foetus and the mother. A case of sigmoid volvulus in pregnancy is reported which was managed by resection and primary anastomosis. A review of literature revealed no previous reports of sigmoid volvulus in pregnancy managed by primary anastomosis following resection of the sigmoid volvulus. The literature is also reviewed regarding predisposing factors, management options and the outcome of sigmoid volvulus complicating pregnancy.
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spelling doaj.art-ad3b9d0b71244618a4bbec67546c0cd42022-12-22T01:38:24ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282009-04-019184881335Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature reviewNorman O Machado0Lovina S M Machado1Department of Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanDepartment of Obstetrics and Gynaecology, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanSigmoid volvulus is an extremely rare cause of intestinal obstruction in pregnancy. The rarity of the condition and the fact that pregnancy itself clouds the clinical picture invariably leads to a delay in diagnosis with an increased risk of gangrene of the gut. The majority of these patients would then require resection and colostomy. However, an early diagnosis and intervention as in our patient, which would require a high index of clinical suspicion, could significantly improve the outcome of the foetus and the mother. A case of sigmoid volvulus in pregnancy is reported which was managed by resection and primary anastomosis. A review of literature revealed no previous reports of sigmoid volvulus in pregnancy managed by primary anastomosis following resection of the sigmoid volvulus. The literature is also reviewed regarding predisposing factors, management options and the outcome of sigmoid volvulus complicating pregnancy.https://journals.squ.edu.om/index.php/squmj/article/view/1407sigmoid volvuluspregancyresectioncase reportoman
spellingShingle Norman O Machado
Lovina S M Machado
Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
Sultan Qaboos University Medical Journal
sigmoid volvulus
pregancy
resection
case report
oman
title Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
title_full Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
title_fullStr Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
title_full_unstemmed Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
title_short Sigmoid Volvulus Complicating Pregnancy Managed by Resection and Primary Anastomosis Case report with literature review
title_sort sigmoid volvulus complicating pregnancy managed by resection and primary anastomosis case report with literature review
topic sigmoid volvulus
pregancy
resection
case report
oman
url https://journals.squ.edu.om/index.php/squmj/article/view/1407
work_keys_str_mv AT normanomachado sigmoidvolvuluscomplicatingpregnancymanagedbyresectionandprimaryanastomosiscasereportwithliteraturereview
AT lovinasmmachado sigmoidvolvuluscomplicatingpregnancymanagedbyresectionandprimaryanastomosiscasereportwithliteraturereview