Sigmoid volvulus in pregnancy

Abstract

Sigmoid volvulus in pregnancy is a rare condition that poses a myriad of challenges in diagnosis and management of the patient. It demands on the clinician a high index of suspicion, immediate treatment involving resuscitation and good judgment in handling of the bowel in face of added potential morbidity and mortality to the mother and fetus. We report a case of gangrenous sigmoid volvulus with a viable third trimester pregnancy and discuss potential pitfalls in diagnosis and management.