Seye Y¹*, Ka I², Diao ML³, Diop MA¹, Touré AO¹, Konaté I², Seck M¹ and Dieng M¹

¹Service de Chirurgie Générale CH A Le Dantec, Senegal
²Service de Chirurgie Générale HOGIP, Senegal
³Service de Chirurgie Générale CHR St Louis, Senegal

*Corresponding Author: Seye Y, Service de Chirurgie Générale CH A Le Dantec, Senegal.

Received: July 29, 2024; Published: December 31, 2024

Abstract

Introduction: Pelvic volvulus complicating pregnancy is a rare association. Our objective is to review the literature concerning the management of this association from 2 clinical cases.

Observation: We report 2 cases of pelvic colon volvulus. The first concerned a 32-year-old patient, gravida 5 and para 4 who was received in the emergency department for colonic-type abdominal pain at 32 weeks of gestation + 02 days according to the obstetrical US. The abdominal X-ray showed an inverted U-shaped image. A laparotomy shows a non necrotic pelvic colon volvulus associated with pregnancy. We performed caesarean section and sigmoidectomy with immediate end-to-end anastomosis. The operative follow-ups were simple.The second concerned 1 patient who presented in the aftermath of a vaginal delivery, an occlusive syndrome that evolved 48 hours after delivery. She had bilious vomiting, abdominal pain and absolute constipation. The abdominal X-ray showed an inverted U-shaped image. A laparotomy showed a non-necrotic pelvic colon volvulus. We also found a lack of allotment of the entire colon on the mesentery and a pregnant uterus.A sigmoidectomy and a temporary colostomy were performed with restoration of digestive continuity 15 days after. The operative follow-ups were simple.

Conclusion: Pelvic colon volvulus complicating pregnancy is a double emergency requiring multi-disciplinary care of the mother and the child.

 Keywords: Pelvic Colon Volvulus; Pregnancy; Sigmoidectomy

References

1. Harer Wb., et al. “Volvulus complicating pregnancy and puerperium; report of three cases and review of literature”. Obstetrics and Gynecology4 (1958): 399-406.
2. Ballantyne GH., et al. “Volvulus of the colon. Incidence and mortality”. Annals of Surgery1 (1985): 83-92.
3. Randrianirina A and Rabesalama S. “Volvulus du calcium sur mésentère commun chez un adulte”. RARMU 2 (2010): 7-9.
4. Ou KY., et al. “Volvulus in pregnancy: a diagnostic dilemma”. The Kaohsiung Journal of Medical Sciences 3 (2007): 147-150.
5. Gama AH., et al. “Volvulus of sigmoid colon in Brasil: report of 230”. Diseases of the Colon and Rectum 19 (1976): 314-324.
6. JUZBASIC D. “Indications et résultats de la réduction non sanglante du volvulus”. Lyon Chir 62 (1996): 921-926.
7. Iwamoto I., et al. “Perforated colon volvulus coiling around the uterus in a pregnant woman with a history of severe constipation’. Journal of Obstetrics and Gynaecology Research 5 (2005): 731-733.
8. Alshawi JS. “Recurrent sigmoid volvulus in pregnancy: report of a case and review of the literature”. Diseases of the Colon and Rectum9 (2005): 1811-1813.
9. Sascha Dua R., et al. “Sigmoid volvulus in the puerperium”. International Journal of Gynecology and Obstetrics3 (2007): 195.
10. Ali Kolusari., et al. “Sigmoid volvulus in pregnancy and puerperium: a case series”. Cases Journal 2 (2009): 9275.

Citation

Citation: Seye Y., et al. “Pelvic Colon Volvulus Complicating Pregnancy: About Two Cases”.Acta Scientific Medical Sciences 9.1 (2025): 128-131.

Copyright

Copyright: © 2025 Seye Y., 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.