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Case Report
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| Sigmoid volvulus during second trimester of pregnancy in a primigravida: Report of a rare case with review of imaging of sigmoid volvulus | ||||||
| Obaid Ashraf1, Sameer Peer2, Mohsin Fayaz3, Mohammad Saleem Dar2, Inayat Illahi2, Fahad Shafi2 | ||||||
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1MD, Senior Resident, Department of Radiodiagnosis & Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.
2MBBS, Resident, Department of Radiodiagnosis & Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India. 3MBBS, Resident, Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India. | ||||||
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| Ashraf O, Peer S, Fayaz M, Dar MS, Illahi I, Shafi F. Sigmoid volvulus during second trimester of pregnancy in a primigravida: Report of a rare case with review of imaging of sigmoid volvulus. Int J Case Rep Images 2016;7(7):436–440. |
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Abstract
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Introduction:
Intestinal obstruction is a rare cause of acute abdomen in pregnancy. The incidence of intestinal obstruction in pregnancy ranges from 1:1500 to 1:66431. The differential diagnosis for intestinal obstruction in pregnancy includes congenital or postoperative adhesions, volvulus, hernia, intussusception, malignancy and appendicitis. Sigmoid volvulus is the most common cause of intestinal obstruction accounting for 25–44% of the reported cases in literature. It is extremely important to diagnose this condition early as a delay in diagnosis can lead to maternal as well as fetal complications.
Case Report: A case of 20-year-old female, primigravida, in 22nd week of pregnancy who presented to our hospital with a three-day history of colicky abdominal pain, few episodes of vomiting and obstipation. Ultrasound showed a single live intrauterine fetus and a dilated gut loop extending from left hypochondrium to the left iliac fossa. T2-weighted TRUFI and HASTE MR Images in axial and coronal plane showed radiological signs highly suggestive of sigmoid volvulus. The radiological findings were confirmed on laparotomy and detorsion of the sigmoid loop with decompression followed by sigmoidopexy was performed. No maternal or fetal complications occurred in the perioperative period. Conclusion: Sigmoid volvulus is a rare non-obstetric complication of pregnancy which requires an early diagnosis and prompt intervention to prevent maternal and fetal complications. Magnetic resonance imaging scan can provide an accurate diagnosis of sigmoid volvulus and its use is safe in pregnancy with respect to the risks of radiation exposure in pregnancy. | |
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Keywords:
Crossed-fused renal ectopia, Intestinal obstruction, Pregnancy, Sigmoid volvulus
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Author Contributions
Obaid Ashraf – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Sameer Peer – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mohsin Fayaz – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mohammad Saleem Dar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Inayat Illahi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Fahad Shafi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Obaid Ashraf et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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