Sigmoid Volvulus in Pregnancy Mimicking Abruptio Placenta
Khairunnisa Che Ghazali
*
Department of General Surgery, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Nutrimala Nadia Nasip
Department of General Surgery, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Ahmad Junaidi Ahmad Hamidi
Department of General Surgery, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Karthigesu Aimanan
Department of General Surgery, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Siti Nur Hamizah Hamidon
Department of Obstetrics and Gynaecology, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Chin Tek Jee
Department of Obstetrics and Gynaecology, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
Aisah Munirah Wahi
Department of General Surgery, Hospital Miri, Jalan Cahaya, 98000 Miri, Sarawak, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
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.
Keywords: Fetal morbidity, amenorrhea, sigmoid volvulus, surgical intervention.