A case of sigmoid volvulus in pregnancy: a rare emergency in pregnancy

Introduction: Sigmoid volvulus is a rare complication in pregnancy since ۱۸۸۵ only ۱۰۴ cases have been reported .Case Report: A ۲۲-year-old female patient had a first pregnancy with a gestational age of ۲۷ weeks, presented with generalized abdominal pain and constipation from a week ago.intestinal loops with Thick wall and decrease in peristalsis was seen In Abdominal and pelvic sonography . Also, abdominal and pelvic X-ray examination showed enlarged bowel with bent inner tube view. Due to severe abdominal pain and available evidence, she underwent laparotomy for suspected intestinal obstruction. A very dilated sigmoid colon rotated about two times around its mesentry was seen adjacensy of the pregnant uterus. The sigmoid was detorted and the was fixed to the pelvic floor through its mesentery. The patient was discharged ۴ days after surgery in good general condition. And her baby was born at ۳۸ weeks of gestation by natural vaginal delivery. Baby weighted ۳kg and Apgar scored ۹-۱۰.Conclusion: Sigmoid volvulus is one of the rarest and most urgent prenatal emergencies. Its timely diagnosis will prevent intestinal gangrene and reduce maternal and fetal damage.