On-line version ISSN 2078-5151
Print version ISSN 0038-2361
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.
“Full text available only in PDF format”
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 ]