Sigmoid Volvulus in Pregnancy Mimicking Abruptio Placenta
Khairunnisa Che Ghazali, Nutrimala Nadia Nasip, Ahmad Junaidi Ahmad Hamidi, Karthigesu Aimanan, Siti Nur Hamizah Hamidon, Chin Tek Jee, Aisah Munirah Wahi
Journal of Advances in Medicine and Medical Research · pp. 85–88 · Published 22 Feb 2021
10.9734/jammr/2021/v33i230810Abstract
Sigmoid volvulus complicating pregnancy is a rare condition with significant maternal and fetal morbidity and mortality. Therefore, a high index of suspicion is needed, and additional radiological imaging is beneficial if both mother and fetus are stable. A 28 years old lady, gravida 2 para 1 at 32 weeks gestation, with history of one previous LSCS for acute fetal distress, presented to our labour ward with generalised abdominal pain. A diagnosis of placental abruption was made, and patient was subjected to emergency LSCS for immediate delivery of the baby. A high index of suspicion of sigmoid volvulus should be suspected when a pregnant lady presents with a clinical triad of abdominal pain, distention, and absolute constipation. Timely surgical intervention reduces maternal and fetal morbidity and mortality.
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