Sigmoid Volvulus in Pregnancy Mimicking Abruptio Placenta

Sigmoid volvulus complicating pregnancy is a rare condition with significant maternal and fetal morbidity and mortality. Therefore, a high index of suspicion is needed, and additional radiological imaging is beneficial if both mother and fetus are stable. A 28 years old lady, gravida 2 para 1 at 32 weeks gestation, with history of one previous LSCS for acute fetal distress, presented to our labour ward with generalised abdominal pain. A diagnosis of placental abruption was made, and patient was subjected to emergency LSCS for immediate delivery of the baby. A high index of suspicion of sigmoid volvulus should be suspected when a pregnant lady presents with a clinical triad of abdominal pain, distention, and absolute constipation. Timely surgical intervention reduces maternal and fetal morbidity and mortality.