On-line version ISSN 2078-5151
S. Afr. j. surg. vol.49 n.4 Cape Town Nov. 2011
A. Togo; M. Traoré; Y. Coulibaly; B. Samaké; G. Diallo
Gabriel Toure Hospital, Bamako, Mali
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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1. Connolly MM, Unti JA, Nora PF. Bowel obstruction in pregnancy. Surg Clin North Am 1995;75:101-113. [ Links ]
2. Chourak M, Beavogui L, Lachkar A, Elabsi M. Volvulus du sigmoide necrose chez une femme enceinte. J Afr Hepato Gastroenterol 2009;3:35-37. [ Links ]
3. Ballantyne GH. Review of sigmoid volvulus: clinical patterns and pathogenis. Dis Colon Rectum 1982;25:494-501. [ Links ]
4. Twite N, Jacquet C, Hollemaert S, et al. Intestinal obstruction in pregnancy. Rev Med Brux 2006;27:104-109. [ Links ]
5. Utpal DE, Kamal DE. Sigmoid volvulus complicating pregnancy: case report. Indian J Med Sci 2005;59:317-319. [ Links ]
6. Diallo G, Diakite I, Kante L, et al. Volvulus du colon sigmoide (VS) au centre hospitalier universitaire Gabrile Toure de Bamako. Medecine Afrique Noire 2009;56:377-381. [ Links ]