Alonso Ávila^1,2, Zulimar Suárez^1,2, María González^1,2, Mariana Añolis^1,2, Adel Al Awad^1,2,3 and María Matera^1,2,4*

¹Comunidad Estudiantil para la Difusión e Investigación de la Anatomía Humana (CEDIAH), Escuela de Medicina, Universidad del Zulia, Maracaibo, Venezuela

*Corresponding Author: Mariana Añolis, Universidad del Zulia, Comunidad Estudiantil para la Difusión e Investigación de la Anatomía Humana (CEDIAH), Facultad de Medicina, Maracaibo, Estado Zulia, Venezuela.

Received: April 24, 2023; Published: May 09, 2023

Abstract

Introduction: Colonic volvulus in pregnant women is an infrequent complication. When it occurs, it generates a condition of intestinal obstruction with the presence of unspecific signs and symptoms associated with ischemia, necrosis or perforation of the intestine. Its incidence is 1:1600 gestations, and it is considered a pathology of poor prognosis with high risk of maternal-fetal mortality.

Clinical Case: A 37-year-old woman at 28 weeks of gestation, who consulted for nonspecific clinical symptoms characterized by abdominal pain, cramping, of strong to moderate intensity and diffuse, with presence of increased abdominal circumference and outflow of fluid through the genitals. For this reason, induction of labor was performed. Subsequently, after delivery there was no clinical improvement, so the patient was referred to the general surgery service of the Hospital Universitario de Maracaibo where she was admitted with the presumptive diagnosis of acute obstructive abdomen, so surgery was performed where volvulus of the sigmoid colon was found with necrotic color changes and loop dilatation.

Results and Discussion: The clinical background conditions the patient to present the clinical picture as established in the literature, however, she did not present all the symptoms according to this. Hartmann's procedure was performed as surgical choice obtaining a favorable prognosis.

Conclusion: The diagnosis, treatment and symptomatology of this pathology are described in the literature, although since it is infrequent, its specific causes are not well known, so further research is recommended.

 Keywords: Sigmoid Volvulus; Hartmann's Procedure; Acute Obstructive Abdomen; Pregnancy; Clinical Case

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Citation

Citation: María Matera., et al. “Sigmoid Volvulus. Unusual Cause of Surgical Abdomen During Pregnancy. Case Report". Acta Scientific Gastrointestinal Disorders 6.6 (2023): 13-17.

Copyright

Copyright: © 2023 María Matera., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.