Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy

We report the case of a 34-year-old Malay, admitted for constipation and abdominal pain at 35 weeks of gestation. Initially, she was diagnosed to have paralytic ileus and was managed conservatively. As her condition did not improve, emergency laparotomy was performed for suspected intestinal obstruc...

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Main Authors: Nur Azurah AG, Ani Amelia Z, Sagap I
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2011
Online Access:http://journalarticle.ukm.my/813/
http://journalarticle.ukm.my/813/
http://journalarticle.ukm.my/813/1/Diagnostic_dilemma_of_a_case_of_sigmoid_volvulus_complicating_pregnancy.pdf
id ukm-813
recordtype eprints
spelling ukm-8132016-12-14T06:28:15Z http://journalarticle.ukm.my/813/ Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy Nur Azurah AG, Ani Amelia Z, Sagap I, We report the case of a 34-year-old Malay, admitted for constipation and abdominal pain at 35 weeks of gestation. Initially, she was diagnosed to have paralytic ileus and was managed conservatively. As her condition did not improve, emergency laparotomy was performed for suspected intestinal obstruction. She delivered a baby boy weighing 2.84kg with good Apgar score through a caesarean section. Intra-operatively, she was noted to have sigmoid volvulus and sigmoidopexy was performed. Post-partum, colonoscopy and bowel decompression was performed. She recovered well and was discharged on day 5. This case illustrates the need to diagnose or suspect volvulus in pregnant woman presenting with severe constipation as early surgical intervention can reduce morbidity to both mother and fetus. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/813/1/Diagnostic_dilemma_of_a_case_of_sigmoid_volvulus_complicating_pregnancy.pdf Nur Azurah AG, and Ani Amelia Z, and Sagap I, (2011) Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy. Journal of Surgical Academia, 1 (1). pp. 52-54. ISSN 2231-7481 http://jsurgacad.com/
repository_type Digital Repository
institution_category Local University
institution Universiti Kebangasaan Malaysia
building UKM Institutional Repository
collection Online Access
language English
description We report the case of a 34-year-old Malay, admitted for constipation and abdominal pain at 35 weeks of gestation. Initially, she was diagnosed to have paralytic ileus and was managed conservatively. As her condition did not improve, emergency laparotomy was performed for suspected intestinal obstruction. She delivered a baby boy weighing 2.84kg with good Apgar score through a caesarean section. Intra-operatively, she was noted to have sigmoid volvulus and sigmoidopexy was performed. Post-partum, colonoscopy and bowel decompression was performed. She recovered well and was discharged on day 5. This case illustrates the need to diagnose or suspect volvulus in pregnant woman presenting with severe constipation as early surgical intervention can reduce morbidity to both mother and fetus.
format Article
author Nur Azurah AG,
Ani Amelia Z,
Sagap I,
spellingShingle Nur Azurah AG,
Ani Amelia Z,
Sagap I,
Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
author_facet Nur Azurah AG,
Ani Amelia Z,
Sagap I,
author_sort Nur Azurah AG,
title Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
title_short Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
title_full Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
title_fullStr Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
title_full_unstemmed Diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
title_sort diagnostic dilemma of a case of sigmoid volvulus complicating pregnancy
publisher Department of Surgery, UKM Medical Centre
publishDate 2011
url http://journalarticle.ukm.my/813/
http://journalarticle.ukm.my/813/
http://journalarticle.ukm.my/813/1/Diagnostic_dilemma_of_a_case_of_sigmoid_volvulus_complicating_pregnancy.pdf
first_indexed 2023-09-18T19:31:50Z
last_indexed 2023-09-18T19:31:50Z
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