Caecal volvulus following a complicated caesarean section

Julie Isabelle Plougmann Gislinge, Cecilie Johanne Scheuer, Camilla Hauge Toustrup, Elisabeth Thal Roenneberg

Abstract

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.

Original languageEnglish
Article numbere252757
JournalBMJ Case Reports
Volume16
Issue number8
ISSN1757-790X
DOIs
Publication statusPublished - 22 Aug 2023

Keywords

  • Female
  • Pregnancy
  • Humans
  • Cesarean Section/adverse effects
  • Intestinal Volvulus/diagnostic imaging
  • Abdominal Pain/etiology
  • Colectomy
  • Hospitalization

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