Sigmoid volvulus
ICD-10 K56.2 · ICD-11 DB30.1&XA8YJ9

Treatment of Sigmoid Volvulus in Pregnancy

Clinical Scenario

This protocol addresses colonic / sigmoid volvulus occurring during pregnancy — a rare presentation that demands careful coordination across specialties. Management strategy must account for both the severity of the volvulus and the stage of pregnancy.

Comorbidity Consideration

Colonic volvulus in pregnancy is rare. Because both the pregnant patient and the fetus must be considered, treatment requires a multidisciplinary approach, taking into account the stage of pregnancy.

Treatment Approach (Overview)

The protocol centres on a surgical intervention, with timing decisions directly shaped by gestational stage. The full structured regimen specifies when and how surgery is indicated relative to delivery.

Complete sequencing, clinical decision points, and management details are in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

  1. Colonic volvulus in pregnancy is rare. Treatment will require a multidisciplinary approach, taking into account the stage of pregnancy.
  2. In ideal circumstances, definitive surgery is recommended after childbirth, but can be performed without significant impact on the fetus, from the second trimester onward.

DOI: 10.1186/s13017-023-00502-x

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