Recurrent Volvulus during Pregnancy: Case Report and Review of the Literature

INTRODUCTION: Sigmoid colon volvulus (SV) represents the most common etiology of antepartum gastrointestinal obstruction, with repetitive antepartum episodes rarely reported. CASE PRESENTATION: A 25-year-old multiparous patient with history of SV at 26 weeks in her previous pregnancy presented with...

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Detalles Bibliográficos
Autores principales: Alrahmani, Layan, Rivington, Jaclyn, Rose, Carl H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852906/
https://www.ncbi.nlm.nih.gov/pubmed/29686912
http://dx.doi.org/10.1155/2018/4510754
Descripción
Sumario:INTRODUCTION: Sigmoid colon volvulus (SV) represents the most common etiology of antepartum gastrointestinal obstruction, with repetitive antepartum episodes rarely reported. CASE PRESENTATION: A 25-year-old multiparous patient with history of SV at 26 weeks in her previous pregnancy presented with recurrent episodes of SV at 32 0/7, 32 4/7, 37 0/7, and 38 1/7 weeks successfully managed with colonoscopic decompression. Labor was successfully induced at 38 4/7 weeks, and she experienced two further episodes on postpartum days #1 and #32 also treated with colonoscopic decompression, followed by laparoscopic resection. CONCLUSION: Successful treatment of antepartum SV with colonoscopic decompression does not preclude recurrence later in gestation and in future pregnancies.

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