Evidence map›Paper›PMID 40584503›Full record

ArticleWorld journal of gastrointestinal surgery2025

Sigmoid and cecal volvulus in pregnancy and puerperium: A systematic review.

Goran Augustin, Zrinka Hrgović, Ante Tavra, Bojana Jovović, Leon Serdarević, Jure Krstulović

Abstract read
In one paragraph

Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Goran AugustinDepartment of Surgery, University Hospital Centre Zagreb, Zagreb 10000, Croatia. augustin.goran@gmail.com.
Zrinka HrgovićUniversity of Split School of Medicine, Split 21000, Croatia.
Ante TavraUniversity of Split School of Medicine, Split 21000, Croatia.
Bojana JovovićInstitute of Emergency Medicine of Split-Dalmatia County, Croatian Institute of Emergency Medicine, Split 21000, Croatia.
Leon SerdarevićInstitute of Emergency Medicine of Split-Dalmatia County, Croatian Institute of Emergency Medicine, Split 21000, Croatia.
Jure KrstulovićUniversity of Split School of Medicine, Split 21000, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCecal and sigmoid volvulus during pregnancy are extremely rare. Symptoms of intestinal obstruction in pregnancy make accurate clinical diagnosis challenging.

aimTo identify predictive factors for early diagnosis and successful treatment and an association between the diagnosis and maternal/neonatal outcomes.

methodsA systematic review of human studies (PubMed, PubMedCentral, Google Scholar) up to October 2024 was conducted per PRISMA guidelines. Data on demographics, clinical features, diagnostics, treatment, and outcomes were analyzed.

resultsAntepartum and postpartum volvulus occurred in 75.5% and 24.5% of cases, respectively, most commonly in the third trimester (70.3%). Nausea was less frequent and obstipation was more common in sigmoid volvulus (

conclusionConstipation was a risk factor for sigmoid volvulus and prior open appendectomy for cecal volvulus. Endoscopy was more often used in sigmoid cases. Gestational age and maternal age did not affect fetal outcomes. Earlier imaging and appropriate surgery were linked to lower mortality. Delay > 24 hours between intervention and delivery increased fetal, but not maternal mortality. Successful endoscopic detorsion eliminated maternal mortality and significantly lowered fetal mortality.

Indexed as

Cecal volvulusOutcomesPregnancyPuerperiumSigmoid volvulusSystematic review

Identifiers

PMID40584503
PMCPMC12188606

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.