TITLE:
Sigmoide Volvulus on Pregnancy in the General Surgery Service of the Sikasso Hospital, Mali
AUTHORS:
A. Maïga, T. Bathio, M. Diassana, I. Diakité, A. Bah, A. B. Diallo, A. A. Traoré, M. Diallo, B. T. Dembélé, B. Y. Sidibé, O. H. Saadé, M. Kanté, M. Konaté, S. Dembélé, M. Samaké, A. Togo, A. Traoré, G. Diallo
KEYWORDS:
Sigmoid Volvulus, Surgical Emergency, Pregnancy
JOURNAL NAME:
Surgical Science,
Vol.10 No.7,
July
25,
2019
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.