Flexible endoscopic decompression for treatment of sigmoid volvulus in pregnancy

A 26-year-old healthy gravida 5 para 2 woman at 36 weeks ’ gestation presented to the emergency department with a 5-days history of abdominal pain followed by constipation, obstipation and urine retention. Despite the use of antispasmodics and laxatives, her pain worsened, and she had become unable to pass stool, flatus or urine. The vital signs were no rmal. The physical examination revealed a gravid woman with a distended and tender abdomen. Abdominal plain X-ray demonstrated a distended sigmoid loop with an inverted U shape, also known as ‘coffee bean sign’ with no free intraperitoneal gas (A).
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Correspondence Source Type: research