Kolusari Ali, Kurdoglu Mertihan, Adali Ertan, Yildizhan Recep, Sahin H Guler, Kotan Cetin
Department of Obstetrics and Gynecology, Yuzuncu Yil University School of Medicine, Van, Turkey.
Cases J. 2009 Sep 17;2:9275. doi: 10.1186/1757-1626-0002-0000009275.
Intestinal obstruction due to sigmoid volvulus during pregnancy is rare. The presenting signs/symptoms seen in these patients are the same as with non-pregnant patients. Fetal and maternal mortality rates are higher during pregnancy due to delays in diagnosis. We aimed to present four patients diagnosed with sigmoid volvulus during pregnancy and puerperium in our clinic. Diagnosis requires a high index of suspicion in a patient who presents with complaints of abdominal pain and evidence of bowel obstruction. Prompt intervention is necessary to minimize maternal and fetal morbidity and mortality.
妊娠期乙状结肠扭转所致肠梗阻较为罕见。这些患者出现的体征/症状与非妊娠患者相同。由于诊断延误,妊娠期母婴死亡率更高。我们旨在介绍我院门诊诊断为妊娠期及产褥期乙状结肠扭转的4例患者。对于出现腹痛主诉及肠梗阻证据的患者,诊断需要高度怀疑。及时干预对于将母婴发病率和死亡率降至最低很有必要。