A Rare Case of Necrotic Sigmoid Volvulus Complicating the Postpartum Period

Abstract

Sigmoid volvulus is a rare complication of pregnancy and the puerperium. We report a case of sigmoid volvulus complicating the the postpartum periodin a 35-year-old patient who presented on day 5 postoperative of a cesarean section performed in the EL HAROUCHI maternity at the IBN ROCHD CHU in CASABLANCA, in a table of occlusive syndrome. The diagnosis was made on abdominopelvic CT. An exploratory laparotomy revealed a necrotic volvulus of the severely distended sigmoid colon. In our case, the sigmoid volvulus is likely to have been precipitated by the rapid change in the size of the uterus after childbirth. Prompt surgical evaluation of an acute abdomen during the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.