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Unusual presentation of acute intestinal obstruction due to transverse colonic volvulus in late pregnancy: case report- Haidar Muad Gamil- AlGamhoria teaching hospital

Abstract

 Colonic volvulus accounts for less than 5% of all cases of intestinal obstruction. Transverse colon volvulus is a very rare entity among the other types of colonic volvulus with higher morbidity and mortality rate. In pregnancy obstruction due to transverse colonic volvulus is unusual and seldom reported, it requires a soundly recognition and emergency intervention. We reported a very rare case of transverse colonic volvulus in a young female at late gestational age. The diagnosis was suspected on clinical basis as colonic obstruction, and the final diagnosis confirmed intra operatively. Case presentation A 28-years-old pregnant lady gravida 2 and para1 presented with progressive abdominal pain and distention about 12 hours prior to admission, associated with nausea vomiting and stoppage of passing flatus. Her general condition was stable; beside the gravid uterus, an epigastric marked distention was detected. (Figure1) Abdominal ultrasound showed a 34 weeks’ gestational age single alive fetus, and dilated bowels. Exploratory laparotomy revealed unexpected transverse colon volvulus. (Figure2) Resection of the twisted segment and primary end to end anastomosis was performed, and C-section done by the obstetrician. The patient with her baby made a satisfactory recovery and discharged after six days.

 Haidar Muad Gamil

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