Caecal volvulus following a complicated caesarean section

A caecal volvulus is a rare, but severe complication to a caesarean section, with serious risks of perforation, necrosis and peritonitis. We describe a case of a Middle Eastern woman admitted for an elective caesarean section due to a history of three cesareans in her home country. The operation was...

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Bibliographic Details
Published in:	BMJ case reports Vol. 16; no. 8
Main Authors:	Gislinge, Julie Isabelle Plougmann, Scheuer, Cecilie Johanne, Toustrup, Camilla Hauge, Roenneberg, Elisabeth Thal
Format:	Journal Article
Language:	English
Published:	England 22-08-2023
Subjects:	Abdominal Pain - etiology Cesarean Section - adverse effects Colectomy Female Hospitalization Humans Intestinal Volvulus - diagnostic imaging Intestinal Volvulus - etiology Intestinal Volvulus - surgery Pregnancy Pregnancy Gastrointestinal surgery
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Summary:	A caecal volvulus is a rare, but severe complication to a caesarean section, with serious risks of perforation, necrosis and peritonitis. We describe a case of a Middle Eastern woman admitted for an elective caesarean section due to a history of three cesareans in her home country. The operation was complicated by massive adhesions and a postpartum bleed of 1750 mL. She developed severe abdominal pain refractory to strong pain medication postoperatively. She was diagnosed with a caecal volvulus without perforation on CT, which was confirmed by laparotomy. The patient was treated with a hemicolectomy and made a full recovery.
ISSN:	1757-790X
DOI:	10.1136/bcr-2022-252757