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Sigmoide Volvulus on Pregnancy in the General Surgery Service of the Sikasso Hospital, Mali

¹ Service of General Surgery, Teaching Hospital, Bamako, Mali
² Service of General Surgery, Hospital of Sikasso, Sikasso, Mali
³ Service of General Surgery, Hospital of Sikasso, Sikasso, Mali
⁴ Service of General Surgery, Teaching Hospital, Bamako, Mali
⁵ Service of General Surgery, Teaching Hospital, Bamako, Mali
⁶ Service of General Surgery, Hospital of Sikasso, Sikasso, Mali
⁷ Service of General Surgery, Teaching Hospital, Bamako, Mali
⁸ Reference Heath Center of Commune VI, Bamako, Mali
⁹ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁰ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹¹ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹² Service of General Surgery, Hospital of Sikasso, Sikasso, Mali
¹³ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁴ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁵ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁶ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁷ Service of General Surgery, Teaching Hospital, Bamako, Mali
¹⁸ Service of General Surgery, Teaching Hospital, Bamako, Mali

Surgical Science·Volume 10 (2019)·Pages 229–234·Published 15 July 2019·DOI10.4236/ss.2019.107025

Abstract

Sigmoid volvulus on pregnancy is a rare surgical emergency. We report two cases treated in the General Surgery Department of Sikasso Hospital between January 2009 and December 2017. The mean age was 34.8 years and the gestational age ranged from 28 to 30 weeks. The evolution time was 4 days. The 2 patients were referred to us by gynecologist-obstetricians. They were operated after a short-term resuscitation. Inoperative the volvulus of the sigmoid was alone in 1 case; he was associated with a hail volvulus in the other. The volvated loop was necrotic in 1 case (small and sigmoid). A patient benefited from the Hartmann operation associated with a small bowel resection with end-to-end anastomosis. Simple sigmoidal detorsion was performed in one patient. We did not register a maternal death. The follow-up was simple in the 2 patients who gave birth vaginally.

KeywordsSigmoid VolvulusSurgical EmergencyPregnancy

Khanna, A., Kumar, P. and Khanna, R. (1999) Sigmoid Volvulus: A Study from a North Indian Hospital. Diseases of the Colon & Rectum, 42, 1081-1084. https://doi.org/10.1007/BF02236708
Chourak, M., Beavogui, L., Lachkar, A. and Elabsi, M. (2009) Volvulus dusigmoide nécrosé chez une femme enceinte. Journal Africain d’Hépato-Gastroentérologie, 3, 35-37. https://doi.org/10.1007/s12157-009-0065-1
Twité, N., Jacquet, C., Hollemaert, C., El Founas, I.T., Dumont, G., Nasr, A., Guchteneere, E. and Busine, A. (2006) Intestinal Obstruction in Pregnancy. Revue Médicale de Bruxelles, 27, 104-109.
Perdue, P.W., Johnson, H.W. and Staffort, P.W. (1992) Intestinal Obstruction Complicating Pregnancy. The American Journal of Surgery, 164, 384-388. https://doi.org/10.1016/S0002-9610(05)80910-9
Alshawi, J.S. (2005) Recurrent Sigmoid Volvulus in Pregnancy: Report of a Case and Review of the Literature. Diseases of the Colon & Rectum, 48, 1811-1813. https://doi.org/10.1007/s10350-005-0118-5
Dufour, P., Haent, K., Vinatier, D., Tordjeman, N., Monnier, J.C. and Puech, F. (1996) Occlusion during Pregnancy: 7 Cases Report. The European Journal of Obstetrics & Gynecology and Reproductive Biology, 25, 297-300.
Lord, S.A., Boswell, W.C. and Hungerpiller, J.C. (1996) Sigmoid Volvulus in Pregnancy. The American Surgeon, 62, 380-382.
Goundo, D.Y. (2006) Volvulus du sigmoide à l'hopital Gabriel Touré. Médecine Thèse, Université de Bamako, Bamako.
Musoke, F., Kawooya, M.G. and Kiguli-Malwadde, E. (2003) Comparison between Sonographic and Plain Radiography in the Diagnosis of Small Bowel Obstruction at Mulago Hospital, Uganda. East African Medical Journal, 80, 540-545. https://doi.org/10.4314/eamj.v80i10.8758
Joshi, M.A., Balsarkar, D., Avasare, N., Pradhan, C., Perira, G., Subramanyan, P., Shirahatti, R.G. and Changlani, T.T. (1999) Gangrenous Sigmoid Volvulus in a Pregnant Woman. Tropical Gastroenterology, 20, 141-142.
Narjis, Y., Mansouri, M.N., Jgounni, R., Louzi, A., Abassi, H., Soumani, A., Benclkhayat, R., Finech, B. and Idrissi, A. (2008) Volvulus dusigmoide une complication rare de la grossesse. Gynécologie Obstétrique & Fertilité, 36, 776-778. https://doi.org/10.1016/j.gyobfe.2008.05.004
De, U. and De, K.K. (2005) Sigmoid Volvulus, Complicating Pregnancy. Indian Journal of Medical Sciences, 59, 317-319. https://doi.org/10.4103/0019-5359.16507

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Sigmoide Volvulus on Pregnancy in the General Surgery Service of the Sikasso Hospital, Mali

Abstract

References (14)