{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:20:02Z","timestamp":1769584802207,"version":"3.49.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,10,27]],"date-time":"2015-10-27T00:00:00Z","timestamp":1445904000000},"content-version":"vor","delay-in-days":299,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Sigmoid volvulus is a rare cause of intestinal obstruction during pregnancy associated with high maternal and foetal mortality. Effective management represents a challenge due to delayed presentation, obstructive symptoms regarded as pregnancy-related and hesitation in using radiological evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We report a case of a lady, pregnant for 26 weeks and with a 5 day history of abdominal pain and constipation. She underwent concomitant caesarean section and laparotomy for intestinal obstruction. Intra-operatively, the sigmoid colon was extensively dilated and gangrenous. The ischemic colon was resected and a Hartmann\u2019s procedure was performed. A preterm male child was delivered and admitted to neonatal intensive care. The post operative course was uneventful and the patient was discharged home on the 9th post-operative day. Six months later she underwent an uneventful reversal of the Hartmann\u2019s procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Sigmoid volvulus is the most common cause of bowel obstruction during pregnancy, accounting for up to 44% of reported cases. We have reviewed the available literature on this topic and present another case managed at our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Diagnosis of sigmoid volvulus in pregnancy is a challenge, but a delay in diagnosis increases the rates of feto-maternal mortality. A high incidence of clinical suspicion and timely surgical intervention are the key to a favourable outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.10.030","type":"journal-article","created":{"date-parts":[[2015,10,30]],"date-time":"2015-10-30T21:09:34Z","timestamp":1446239374000},"page":"61-64","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":18,"title":["Sigmoid volvulus during pregnancy"],"prefix":"10.1097","volume":"17","author":[{"given":"Ahmed M.","family":"Al Maksoud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel K.","family":"Barsoum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed M.","family":"Moneer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-19-20260114","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/1749-7922-9-41","article-title":"Endoscopic reduction of a volvulus of the sigmoid colon in pregnancy: case report and a comprehensive review of the literature","volume":"9","author":"Aftab","year":"2014","journal-title":"World J. Emerg. Surg"},{"key":"R7-19-20260114","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.ajem.2013.11.024","article-title":"Sigmoid volvulus in pregnancy: early diagnosis and intervention are important","volume":"32","author":"Ahmad","year":"2014","journal-title":"Am. J. Emerg. Med"},{"key":"R10-19-20260114","first-page":"3","article-title":"Sigmoid volvulus presenting during late pregnancy: a report of two cases from a single institution","volume":"1","author":"Kessler","year":"2014","journal-title":"Austin J. Obstet. Gynecol"},{"key":"R12-19-20260114","first-page":"117","article-title":"Sigmoid volvulus causing intestinal obstruction in pregnancy","volume":"2","author":"Samarakoon","year":"2013","journal-title":"J. Symptoms Signs"},{"key":"R17-19-20260114","first-page":"84","article-title":"Sigmoid volvulus complicating pregnancy managed by resection and primary anastomosis: case report with literature review","volume":"9","author":"Machado","year":"2009","journal-title":"SQU Med. J"},{"key":"R18-19-20260114","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1007\/s10350-005-0118-5","article-title":"Recurrent sigmoid volvulus in pregnancy: report of a case and review of the literature","volume":"48","author":"Alshawi","year":"2005","journal-title":"Dis. Colon Rectum"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215004678?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215004678?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201517000-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:38:27Z","timestamp":1768397907000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201517000-00019"}},"subtitle":["A rare non-obstetric complication. Report of a case and review of the literature"],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2015.10.030","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}