Togo A, Traore M, Coulibaly Y, Samake B, Diallo Gangaly
Gabriel Touré Hospital, Bamako, Mali.
S Afr J Surg. 2011 Nov 30;49(4):204-5.
A 27-year-old woman, gravida 1, was seen at our surgical emergency department with abdominal pain at 25 weeks' gestation. She had pain, nausea and vomiting, a temperature of 37°C and a blood pressure of 100/70 mmHg. The cervix was closed, and an ultrasound scan showed a normal single fetus. A plain abdominal radiograph showed distension of the colon and a sigmoid volvulus. At emergency laparotomy, non-gangrenous sigmoid colon was resected with primary anastomosis. There were no complications, and 4 months later the patient delivered a healthy infant. Early diagnosis of sigmoid volvulus in pregnancy and prompt intervention minimise maternal and fetal morbidity and mortality.
一名27岁初产妇，孕25周时因腹痛被送至我院外科急诊。她有疼痛、恶心和呕吐症状，体温37°C，血压100/70 mmHg。宫颈闭合，超声检查显示单胎正常。腹部平片显示结肠扩张及乙状结肠扭转。急诊剖腹手术时，切除无坏疽的乙状结肠并进行一期吻合。未出现并发症，4个月后患者分娩出一名健康婴儿。孕期乙状结肠扭转的早期诊断和及时干预可将母婴发病率和死亡率降至最低。
