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Volume 7, Issue 7 (Suppl) J Gastrointest Dig Syst
ISSN: 2161-069X JGDS, an open access journal Gastroenterologists 2017
December 14-15, 2017
December 14-15, 2017 Dubai, UAE
11th World
Gastroenterologists Summit
Endoscopic detorsion of sigmoid volvulus in pregnancy: A case report and literature
Ibtihal Y Mahboob, Hani A Jawa and Laila K Ashkar
King Abdul Aziz University, KSA
S igmoid volvulus is a very rare condition causing intestinal obstruction in pregnancy associated with extremely high rate of
morbidity and mortality for both mother and fetus, early diagnosis based on clinical judgment and use of modern imaging
modalities are required for achieving better results and avoiding any surgical intervention. We report the case of a 23-week
pregnant lady, present with severe abdominal distention and constipation, diagnosis was achieved using magnetic resonance
image, emergency flexible sigmoidoscopy with detorsion of volvulus was done successfully with no complication to the mother
or fetus, she was maintained on stool softener and remained well on follow-up. We have reviewed the available literature on
this topic, as of 2017, less than 100 cases had been reported since first reported case in 1885, most of them ended by surgical
resection of gangrenous part of the colon and the need for colostomy. One case had been managed by endoscopy is reported
in Brunei. Sigmoid volvulus is the most cause of intestinal obstruction during pregnancy accounting for up to 44% of reported
cases. Delay in diagnosis usually goes back to similarity between common gastro-enteric symptoms in pregnancy that can
mask truly obstructive one and also hesitate in use of radiologic image for evaluation. Effective management represents a
challenge, as a delayed presentation and diagnosis will lead to catastrophic feto-maternal complications. A high incidence of
clinical suspicion and timely intervention are the key to a favorable outcome.
Biography
Ibtihal Y Mahboob has completed her Saudi Board (PhD) in Internal Medicine and currently holds a Gastroenterology Fellowship.
Ibtihal Y Mahboob et al., J Gastrointest Dig Syst 2017, 7:7 (Suppl)
DOI: 10.4172/2161-069X-C1-061