title: Volvulus of the Sigmoid Colon during Pregnancy: A Case Report.
abstract: Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was admitted with 3 days of abdominal distention, vomit, and the stoppage of the passage of gases and feces. She was admitted with poor clinical conditions with septic shock, acute respiratory distress syndrome, and signs of diffuse peritonitis. Abdominal radiography showed severe dilation of the colon with horseshoe signal suggesting a sigmoid volvulus, pneumoperitoneum and we could not we could not identify fetal heartbeats. With a diagnosis of complicate sigmoid volvulus she was underwent to the laparotomy where we found necrosis of all descending colon due to double twist volvulus of the sigmoid. We performed a colectomy with a confection of a proximal colostomy, and closing of the rectal stump. Due to an uncontrollable uterine bleeding during cesarean due, it was required a hysterectomy. The patient had an uneventful postoperative course thereafter and was discharged on a regular diet on the 15th postoperative day.
authors.affiliation: Department of General Surgery, São Francisco University Hospital, Bragança Paulista, SP, Brazil.
authors.forename: Enzo Fabrício
authors.initials: EF
authors.lastname: Ribeiro Nascimento
authors.forename: Michelle
authors.initials: M
authors.lastname: Chechter
authors.forename: Fábio Piovezan
authors.initials: FP
authors.lastname: Fonte
authors.forename: Nara
authors.initials: N
authors.lastname: Puls
authors.forename: Juliana Santos
authors.initials: JS
authors.lastname: Valenciano
authors.forename: Cláudio Luciano Penna
authors.initials: CL
authors.lastname: Fernandes Filho
authors.forename: Ronaldo
authors.initials: R
authors.lastname: Nonose
authors.forename: Crhistiny Emmanuelle Gabriel
authors.initials: CE
authors.lastname: Bonassa
authors.forename: Carlos Augusto Real
authors.initials: CA
authors.lastname: Martinez