Coecal volvulus: An acute complication of pregnancy

Caecal volvulus post‐appendicectomy in pregnancy: a case report

“…Did this patient always have a caecal volvulus or did she develop this post‐operatively due to the mobilization of the ascending colon at appendicectomy? This patient's presentation is consistent with that of other case studies in pregnant women with caecal volvulus . However, no abnormality of the caecum was detected on USS and magnetic resonance imaging preoperatively and no volvulus was identified at initial operation.…”

Sigmoid Volvulus Complicating Pregnancy: A Case Report

“…Affected women are generally 15 to 35 years of age, nearly 75% of them are multiparous, and approximately 66% are in the third trimester [1,2,4,5].…”

“…Typical symptoms of SV in pregnancy are intermittent and severe abdominal pain, distention, and obstipation, which are known as SV triad, and additionally nausea and vomiting, while the common signs are abdominal tenderness, distention, hyperkinetic or hypo/akinetic bowel sounds, and empty rectum [1,2,4,6]. Although abdominal pain, nausea, and vomiting, which are the physiologic findings of pregnancy, are generally thought to cloud the clinical picture [1,6], in our experience, abdominal pain in SV is severe, and nausea and vomiting are not prominent symptoms in the second and third trimesters of pregnancy.…”

“…Emergency surgery is required for the patients with peritonitis, bowel gangrene, or unsuccessful nonoperative detorsion. In gangrenous cases, the nonviable sigmoid colon is resected and a diverting colostomy, or preferably a primary anastomosis is added, while detorsion is preferred as a sole procedure in non-gangrenous patients [1,2,7,10].…”

“…The disease is generally presented as a bowel obstruction, and the physiologic symptoms of pregnancy may cloud the clinical picture [1,2]. Laboratory findings are not pathogonomic, X-ray is generally avoided, and ultrasonography is helpful providing information about foetus [1,3].…”