What is it about?
Sigmoid volvulus is a rare complication of pregnancy and the puerperium. We report a case of sigmoid volvulus complicating the postpartum period in a 35-year-old patient who presented on day 5 postoperative of a cesarean section performed in the EL HAROUCHI maternity at the Ibno Rochd university Hospital of Casablanca, in a table of occlusive syndrome.
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Why is it important?
The diagnosis was made by an abdominopelvic CT. Exploratory laparotomy revealed a necrotic volvulus of the highly distended sigmoid colon. In our case, the sigmoid volvulus was probably precipitated by the rapid change in uterine size after delivery.
Perspectives
The sigmoid volvulus is a rare complication of pregnancy requiring immediate surgical intervention. It is thought to be the second most common cause of volvulus after bridge occlusion. It is difficult to diagnose and its prognosis depends largely on early treatment [1].
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This page is a summary of: A rare case of necrotic sigmoid volvulus complicating the postpartum period, Journal of Case Reports and Medical History, June 2024, Acquire Publications LLC,
DOI: 10.54289/jcrmh2400144.
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