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Case Reports in Obstetrics and Gynecology
Volume 2012, Article ID 641093, 5 pages
http://dx.doi.org/10.1155/2012/641093
Case Report

Volvulus of the Sigmoid Colon during Pregnancy: A Case Report

1Department of General Surgery, São Francisco University Hospital, Bragança Paulista, SP, Brazil
2São Francisco University Medical School, SP, Brazil
3Division of General Surgery, São Francisco University Medical School, SP, Brazil
4Postgraduate Program in Health Sciences, University of São Francisco, Rua José Raposo de Medeiros, 474, apto.602, 12914-450 Bragança Paulista, SP, Brazil

Received 19 September 2011; Accepted 10 November 2011

Academic Editors: M. Geary, A. Ohkuchi, and K. Takeuchi

Copyright © 2012 Enzo Fabrício Ribeiro Nascimento et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.