{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T01:48:36Z","timestamp":1769564916726,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Intestinal volvulus during pregnancy is a rare and potentially severe cause of bowel obstruction, associated with high maternal and fetal morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms, requiring a high index of suspicion. We report a primigravida in her late 30s diagnosed with sigmoid volvulus at 25 weeks of gestation, initially treated successfully with endoscopic decompression. Recurrence occurred at 36 weeks, leading to an urgent caesarean section with sigmoidopexy, achieving excellent maternal and fetal outcomes. This case emphasises the diagnostic challenge of these acute conditions in pregnancy and underscores the need for early recognition and a coordinated multidisciplinary approach to optimise maternal-fetal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2025-270837","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:45:20Z","timestamp":1769517920000},"page":"e270837","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent sigmoid volvulus in pregnancy"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1410-7893","authenticated-orcid":false,"given":"Catarina Costa","family":"Neves","sequence":"first","affiliation":[{"name":"Gynecology and Obstetrics, Algarve Local Health Unit, Faro, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Obstetrics B Department, Coimbra University Hospital Centre, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e1udia","family":"Andrade","sequence":"additional","affiliation":[{"name":"Gynaecology Department, Coimbra University Hospital Centre, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa","family":"Marques","sequence":"additional","affiliation":[{"name":"Obstetrics B Department, Coimbra University Hospital Centre, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"2026012704451031000_19.1.e270837.1","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-021-03151-3","article-title":"Sigmoid volvulus in pregnancy: a case report","volume":"15","author":"Lodhia","year":"2021","journal-title":"J Med Case Rep"},{"key":"2026012704451031000_19.1.e270837.2","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":"2026012704451031000_19.1.e270837.3","unstructured":"Le CK , Anand S . Volvulus. In: StatPearls. Treasure Island (FL), 2025."},{"key":"2026012704451031000_19.1.e270837.4","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1111\/j.1447-0756.2007.00641.x","article-title":"Perforated colon volvulus coiling around the uterus in a pregnant woman with a history of severe constipation","volume":"33","author":"Iwamoto","year":"2007","journal-title":"J of Obstet and Gynaecol"},{"key":"2026012704451031000_19.1.e270837.5","doi-asserted-by":"crossref","DOI":"10.1177\/2324709620975939","article-title":"Endoscopic Decompression of Recurrent Sigmoid Volvulus in Pregnancy","volume":"8","author":"Cortez","year":"2020","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2026012704451031000_19.1.e270837.6","article-title":"Sigmoid and cecal volvulus in pregnancy and puerperium: A systematic review","volume":"17","author":"Augustin","year":"2025","journal-title":"World J Gastrointest Surg"},{"key":"2026012704451031000_19.1.e270837.7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ijscr.2015.10.030","article-title":"Sigmoid volvulus during pregnancy: A rare non-obstetric complication. Report of a case and review of the literature","volume":"17","author":"Al Maksoud","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"2026012704451031000_19.1.e270837.8","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s00404-010-1789-2","article-title":"Mid-gut volvulus and mesenteric vessel thrombosis in pregnancy: case report and literature review","volume":"283 Suppl 1","author":"Shui","year":"2011","journal-title":"Arch Gynecol Obstet"},{"key":"2026012704451031000_19.1.e270837.9","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1089\/lap.2021.0613","article-title":"Endoscopic Decompression of Sigmoid Volvulus: Review of 748 Patients","volume":"32","author":"Atamanalp","year":"2022","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2026012704451031000_19.1.e270837.10","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.crad.2022.05.021","article-title":"Imaging the acute abdomen in pregnancy: a radiological decision-making tool and the role of MRI","volume":"77","author":"Lie","year":"2022","journal-title":"Clin Radiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270837","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:45:22Z","timestamp":1769517922000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,27]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-270837"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270837","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}