Volvulus of the Sigmoid Colon during Pregnancy: A Case Report
Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2012/641093 |
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| author | Enzo Fabrício Ribeiro Nascimento Michelle Chechter Fábio Piovezan Fonte Nara Puls Juliana Santos Valenciano Cláudio Luciano Penna Fernandes Filho Ronaldo Nonose Crhistiny Emmanuelle Gabriel Bonassa Carlos Augusto Real Martinez |
| author_facet | Enzo Fabrício Ribeiro Nascimento Michelle Chechter Fábio Piovezan Fonte Nara Puls Juliana Santos Valenciano Cláudio Luciano Penna Fernandes Filho Ronaldo Nonose Crhistiny Emmanuelle Gabriel Bonassa Carlos Augusto Real Martinez |
| author_sort | Enzo Fabrício Ribeiro Nascimento |
| collection | DOAJ |
| description | Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was admitted with 3 days of abdominal distention, vomit, and the stoppage of the passage of gases and feces. She was admitted with poor clinical conditions with septic shock, acute respiratory distress syndrome, and signs of diffuse peritonitis. Abdominal radiography showed severe dilation of the colon with horseshoe signal suggesting a sigmoid volvulus, pneumoperitoneum and we could not we could not identify fetal heartbeats. With a diagnosis of complicate sigmoid volvulus she was underwent to the laparotomy where we found necrosis of all descending colon due to double twist volvulus of the sigmoid. We performed a colectomy with a confection of a proximal colostomy, and closing of the rectal stump. Due to an uncontrollable uterine bleeding during cesarean due, it was required a hysterectomy. The patient had an uneventful postoperative course thereafter and was discharged on a regular diet on the 15th postoperative day. |
| format | Article |
| id | doaj-art-948fb403165f40ebb5d4d0bce7cc7e91 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-948fb403165f40ebb5d4d0bce7cc7e912025-02-03T01:02:38ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/641093641093Volvulus of the Sigmoid Colon during Pregnancy: A Case ReportEnzo Fabrício Ribeiro Nascimento0Michelle Chechter1Fábio Piovezan Fonte2Nara Puls3Juliana Santos Valenciano4Cláudio Luciano Penna Fernandes Filho5Ronaldo Nonose6Crhistiny Emmanuelle Gabriel Bonassa7Carlos Augusto Real Martinez8Department of General Surgery, São Francisco University Hospital, Bragança Paulista, SP, BrazilSão Francisco University Medical School, SP, BrazilSão Francisco University Medical School, SP, BrazilDepartment of General Surgery, São Francisco University Hospital, Bragança Paulista, SP, BrazilDepartment of General Surgery, São Francisco University Hospital, Bragança Paulista, SP, BrazilDivision of General Surgery, São Francisco University Medical School, SP, BrazilDivision of General Surgery, São Francisco University Medical School, SP, BrazilDivision of General Surgery, São Francisco University Medical School, SP, BrazilPostgraduate Program in Health Sciences, University of São Francisco, Rua José Raposo de Medeiros, 474, apto.602, 12914-450 Bragança Paulista, SP, BrazilColonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was admitted with 3 days of abdominal distention, vomit, and the stoppage of the passage of gases and feces. She was admitted with poor clinical conditions with septic shock, acute respiratory distress syndrome, and signs of diffuse peritonitis. Abdominal radiography showed severe dilation of the colon with horseshoe signal suggesting a sigmoid volvulus, pneumoperitoneum and we could not we could not identify fetal heartbeats. With a diagnosis of complicate sigmoid volvulus she was underwent to the laparotomy where we found necrosis of all descending colon due to double twist volvulus of the sigmoid. We performed a colectomy with a confection of a proximal colostomy, and closing of the rectal stump. Due to an uncontrollable uterine bleeding during cesarean due, it was required a hysterectomy. The patient had an uneventful postoperative course thereafter and was discharged on a regular diet on the 15th postoperative day.http://dx.doi.org/10.1155/2012/641093 |
| spellingShingle | Enzo Fabrício Ribeiro Nascimento Michelle Chechter Fábio Piovezan Fonte Nara Puls Juliana Santos Valenciano Cláudio Luciano Penna Fernandes Filho Ronaldo Nonose Crhistiny Emmanuelle Gabriel Bonassa Carlos Augusto Real Martinez Volvulus of the Sigmoid Colon during Pregnancy: A Case Report Case Reports in Obstetrics and Gynecology |
| title | Volvulus of the Sigmoid Colon during Pregnancy: A Case Report |
| title_full | Volvulus of the Sigmoid Colon during Pregnancy: A Case Report |
| title_fullStr | Volvulus of the Sigmoid Colon during Pregnancy: A Case Report |
| title_full_unstemmed | Volvulus of the Sigmoid Colon during Pregnancy: A Case Report |
| title_short | Volvulus of the Sigmoid Colon during Pregnancy: A Case Report |
| title_sort | volvulus of the sigmoid colon during pregnancy a case report |
| url | http://dx.doi.org/10.1155/2012/641093 |
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