Endoscopic Decompression of Recurrent Sigmoid Volvulus in Pregnancy. (November 2020)

• Record Type: Journal Article
• Authors: Cortez, Nathaly; Berzosa, Manuel; Muddasani, Kiranmayi; Ben-David, Kfir
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 8(2020)
• Publication Date: 2020-11
• Subjects: sigmoid volvulus -- pregnancy -- endoscopic decompression -- abdominal pain; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709620975939
• Languages: English
• ISSNs: 2324-7096

Abstract

Sigmoid volvulus is a rare condition seen during pregnancy with high maternal and fetal morbidity and mortality. We report a case of a young 26-year-old woman, primipara, in her third trimester who presented with recurrent sigmoid volvulus at both 30 and 32 weeks of gestation. She underwent successful repetitive endoscopic decompression on both admissions with uneventful recovery. Endoscopic evaluation is safe in pregnancy and uncomplicated volvulus. It allows for diagnostic confirmation and assessment of complications; and it has successful outcomes in the presence of a multidisciplinary team.