A SURGICAL AND OBSTETRIC CATASTROPHE � SIGMOID VOLVULUS IN PREGNANCY

Dr. Suprajna Shetty; Dr. Shipra Sonkusare; Dr. Aditya Godkhindi; Dr. Chaitanya Kumar Reddy P; Dr. Pujitha Murthi

Volume : VII, Issue : II, February - 2017

A SURGICAL AND OBSTETRIC CATASTROPHE � SIGMOID VOLVULUS IN PREGNANCY

Dr. Suprajna Shetty, Dr. Shipra Sonkusare, Dr. Aditya Godkhindi, Dr. Chaitanya Kumar Reddy P, Dr. Pujitha Murthi

Abstract :

INTRODUCTION: Sigmoid volvulus is a rare cause of intestinal obstruction during pregnancy. The rarity of this condition and the fact that pregnancy itself clouds the clinical picture leads to a delay in diagnosis. Effective management represents a challenge due to delayed presentation, obstructive symptoms and hesitation in using radiological evaluation.

CASE REPORT: We report a case of a lady, pregnant for 22weeks with a 3day history of abdominal pain and constipation. She underwent laparotomy for intestinal obstruction. Intra operatively dilated sigmoid colon with 360°anticlockwise twist was noted and decompression with sigmoidopexy was done. Post operative course was uneventful with viable fetus. She is asymptomatic and is on regular follow up.

CONCLUSSION: Diagnosis of sigmoid volvulus is a challenge but its delay increases the rate of feto–maternal mortality. A high incidence of clinical suspicion and timely surgical intervention are the key to a favourable outcome.