A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age

ABSTRACT Intestinal obstruction is a rare but life‐threatening incidence in pregnancy. Diagnosis can be challenging for clinicians as the symptoms might be approached as other common obstetric complications. Performing radiological and abdominal surgery are also areas of great concern in this field;...

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Main Authors: Naghmeh Kian, Atefeh Moridi
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70110
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author Naghmeh Kian
Atefeh Moridi
author_facet Naghmeh Kian
Atefeh Moridi
author_sort Naghmeh Kian
collection DOAJ
description ABSTRACT Intestinal obstruction is a rare but life‐threatening incidence in pregnancy. Diagnosis can be challenging for clinicians as the symptoms might be approached as other common obstetric complications. Performing radiological and abdominal surgery are also areas of great concern in this field; since radiologic studies inevitably expose the fetus to radiation and the treatment options mostly involve surgery that is worrisome during gestation. The maternal and fetal outcomes are dependent on timely diagnosis and management; as intestinal perforation, necrosis and peritonitis can happen and lead to fetal or maternal mortality or morbidity. In this study, we present a challenging case of a 36‐year‐old pregnant woman with severe abdominal pain and distension that emergently underwent surgery after the diagnosis of sigmoid volvulus without the gestation being discontinued. To our knowledge, our study presents one of the rarest cases of intestinal obstruction during pregnancy that was managed surgically without pregnancy termination. Further we will discuss intestinal obstruction in pregnancy based the current literature.
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spelling doaj-art-576898633d9e47448faaf3be5e127f012025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70110A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational AgeNaghmeh Kian0Atefeh Moridi1School of Medicine Shahid Beheshti University of Medical Sciences Tehran IranPreventive Gynecology Research Center Shahid Beheshti University of Medical Sciences Tehran IranABSTRACT Intestinal obstruction is a rare but life‐threatening incidence in pregnancy. Diagnosis can be challenging for clinicians as the symptoms might be approached as other common obstetric complications. Performing radiological and abdominal surgery are also areas of great concern in this field; since radiologic studies inevitably expose the fetus to radiation and the treatment options mostly involve surgery that is worrisome during gestation. The maternal and fetal outcomes are dependent on timely diagnosis and management; as intestinal perforation, necrosis and peritonitis can happen and lead to fetal or maternal mortality or morbidity. In this study, we present a challenging case of a 36‐year‐old pregnant woman with severe abdominal pain and distension that emergently underwent surgery after the diagnosis of sigmoid volvulus without the gestation being discontinued. To our knowledge, our study presents one of the rarest cases of intestinal obstruction during pregnancy that was managed surgically without pregnancy termination. Further we will discuss intestinal obstruction in pregnancy based the current literature.https://doi.org/10.1002/ccr3.70110intestinal obstructionOB & GYNpregnancyvolvulus
spellingShingle Naghmeh Kian
Atefeh Moridi
A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
Clinical Case Reports
intestinal obstruction
OB & GYN
pregnancy
volvulus
title A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
title_full A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
title_fullStr A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
title_full_unstemmed A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
title_short A Case Report of a Pregnancy Complicated by Sigmoid Volvulus in the Extreme Preterm Gestational Age
title_sort case report of a pregnancy complicated by sigmoid volvulus in the extreme preterm gestational age
topic intestinal obstruction
OB & GYN
pregnancy
volvulus
url https://doi.org/10.1002/ccr3.70110
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