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Case Reports in Obstetrics and Gynecology
Volume 2018, Article ID 4510754, 5 pages
https://doi.org/10.1155/2018/4510754
Case Report

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

1Mayo Clinic, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, 200 First St. SW, Rochester, MN 55905, USA
2Metrohealth Medical Center, Department of Internal Medicine, 2500 Metrohealth Dr., Cleveland, OH 44109, USA

Correspondence should be addressed to Layan Alrahmani; moc.liamg@dm.nayal

Received 30 November 2017; Accepted 5 February 2018; Published 1 March 2018

Academic Editor: Maria Grazia Porpora

Copyright © 2018 Layan Alrahmani 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

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.