As an example, the radiation dose to the fetus for a plain abdominal radiograph

averages 0.1–0.3 rads, while a CT of the pelvis and abdomen yields PRIMA-1MET ic50 up to 5 rads of fetal exposure [26]. In any case, the health and life of the mother takes priority over the concerns for the fetus and judicious use of radiation may help make an early diagnosis with optimal outcome for both the mother and the fetus. The management of intestinal obstruction and perforation in pregnant women is pretty much similar to that of non-pregnant women. The basis of therapy is early surgical intervention [27]. Surgery should be performed via midline vertical laparotomy. In the third trimester, if sufficient intestinal exposure cannot be obtained due to enlarged uterus, a caesarean section must be carried out [28]. The entire bowel should be examined for other areas of obstruction. Intestinal viability should be assessed cautiously and segmental resection with or without anastomosis is often necessary [27]. Conclusions Sigmoid

volvulus complicating pregnancy is very rare condition with significant maternal and fetal morbidity and mortality. Timely diagnosis mandates high index of clinical suspicion in patients presenting with abdominal pain, distension and absolute constipation. Hesitancy in getting X-rays in view of pregnant situation must be avoided and appropriate MDV3100 cell line management must be defined. Delay in diagnosis and treatment beyond 48 hours results in increased fetal and maternal morbidity and mortality. Review of the available literature emphasizes the selleck importance of early diagnosis and timely intervention to minimize maternal and fetal morbidity and mortality. Consent A written informed consent was obtained from the next of kin of the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Abiraterone clinical trial References 1. Perdue PW, Johnson HW, Stafford PW: Intestinal obstruction complicating pregnancy. Am J Surg 1992, 164:384–388.PubMedCrossRef 2. Kolusari A, Kurdoglu M, Adali E, Yildizhan R, Sahin HG, Kotan C: Sigmoid volvulus in pregnancy and puerperium: a case series. Cases Journal 2009, 2:9275.PubMedCrossRef 3. Vo TM, Gyaneshwar R, Mayer C: Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: case report and literature review. J Obstet Gynaecol Res 2008, 34:658–662.PubMedCrossRef 4. Iwamoto I, Miwa K, Fujino T, Douchi T: Perforated colon volvulus coiling around the uterus in a pregnant woman with a history of severe constipation. J Obstet Gynaecol Res 2007, 33:731–733.PubMedCrossRef 5. Sascha Dua R, Rothnie ND, Gray EA: Sigmoid volvulus in the Puerperium. Int J Gynaecol Obstet 2007, 97:195.PubMedCrossRef 6. Machado NO, Machado LS: Sigmoid volvulus complicating pregnancy managed by resection and primary anastomosis; case report with literature review.