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Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: Case report and literature review
Author(s) -
Vo Thi M.,
Gyaneshwar Rajat,
Mayer Christiane
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2008.00903.x
Subject(s) - medicine , placental abruption , pregnancy , sigmoid colon , volvulus , obstetrics , surgery , sigmoid volvulus , transverse colon , abdominal pain , surgical emergency , gestation , biology , rectum , genetics
Sigmoid volvulus in pregnancy is a rare complication. The combination of sigmoid volvulus and sigmoid herniation through a broad ligament together with placental abruption in pregnancy is a most unusual obstetrical emergency. We report the case of a previously well 32‐year‐old Mexican woman who was transferred to our institution at 28 weeks gestation with threatened preterm labor. We considered the possibility of appendicitis. While awaiting a surgical consult, an emergency cesarean section was carried out for a prolonged deceleration of the fetal heart. A routine transverse suprapubic abdominal entry revealed a large loop of ischemic bowel. This was confirmed to be a sigmoid volvulus which had herniated through a left broad ligament defect. The deceleration was attributed to a large placental abruption. No previous case with a combination of a sigmoid volvulus and placental abruption was found in the literature.