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: November 13, 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

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Citation

Citation: Seye Y., et al. “Pelvic Colon Volvulus Complicating Pregnancy: About Two Cases”.Acta Scientific Medical Sciences 8.12 (2024): 57-60.

Copyright

Copyright: © 2024 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.