Recurrent sigmoid volvulus in pregnancy

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.