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Review
. 2014 Jun 30:9:41.
doi: 10.1186/1749-7922-9-41. eCollection 2014.

Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature

Zia Aftab  1 , Adriana Toro  2 , Abdelrahmam Abdelaal  1 , Mohammed Dasovky  1 , Salahdin Gehani  1 , Abdelatif Abdel Mola  1 , Isidoro Di Carlo  3
Affiliations
Review

Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature

Zia Aftab et al. World J Emerg Surg. .

Abstract

Sigmoid volvulus is a rare, but serious, complication that can occur during pregnancy. We present a case of a 33-year-old pregnant female in the third trimester with a sigmoid volvulus. Detorsion of the volvulus was performed during colonoscopy. The patient underwent an elective sigmoidectomy at a later date. Prompt diagnosis of the volvulus sigmoid is critical to minimize fetal and maternal morbidity and mortality. Sigmoidoscopic detorsion or surgical resection are the treatment options, depending on bowel viability. A review of the literature was done.

Keywords: Endoscopic reduction; Pregnancy; Sigmoid volvulus.

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Figures

Figure 1
Figure 1
X-ray examination showing the enormous dilatation and complete occlusion of the sigmoid.
Figure 2
Figure 2
Dilatation of the sigmoid during the cesarean section delivery.
Figure 3
Figure 3
Flowchart describing the selection of studies included in this article.
See this image and copyright information in PMC

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