Introduction.

Cecal volvulus in pregnancy is an uncommon pathology worldwide, with a varied clinical spectrum and limitation in diagnostic studies, which can result in an ominous outcome.

Clinical case.

We present the case of a pregnant woman in the second trimester of pregnancy who presents with an acute abdomen secondary to caecal volvulus and fetal distress. The patient was taken to emergency caesarean section, where a cecectomy and transverse ileus anastomosis were also performed, with fetal mortality.

Conclusion.

Cecal volvulus is part of the differential diagnoses in acute abdomen during pregnancy. It has a reserved prognosis, where adverse maternal and perinatal outcomes can occur, including maternal-fetal mortality.

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