Sigmoid volvulus is a rare complication of pregnancy and the puerperium. We report a case of sigmoid volvulus complicating the the postpartum periodin a 35-year-old patient who presented on day 5 postoperative of a cesarean section performed in the EL HAROUCHI maternity at the IBN ROCHD CHU in CASABLANCA, in a table of occlusive syndrome. The diagnosis was made on abdominopelvic CT. An exploratory laparotomy revealed a necrotic volvulus of the severely distended sigmoid colon. In our case, the sigmoid volvulus is likely to have been precipitated by the rapid change in the size of the uterus after childbirth. Prompt surgical evaluation of an acute abdomen during the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.

Subcapsular hematoma of the liver Subcapsular hematoma of the liver (SCLH) is defined as an anatomical-clinical entity corresponding to the appearance of a hematic collection located between the intact GLISSON capsule and the hepatic parenchyma. It is a rare complication of pregnancy with a high maternal-fetal mortality, occurring most often in the context of pre-eclampsia or HELLP syndrome (Hemolysis, Elevated Liver Enzymes, and Low Platelets Syndrome). We report the case of a 25-year-old parturient, primiparous woman, with no previous history, admitted to the emergency room for shock in a 29-week amenorrhea pregnancy. Ultrasound examination revealed a ruptured sub capsular hematoma of the liver. An urgent surgical exploration was required, during which a rupture of the subcapsular hematoma of the liver was revealed, accompanied by a state of hemorrhagic shock. The management consisted in a polytransfusion with suture of the hepatic lesion without paking. The evolution was favorable with clinico-biological normalization and the patient was declared discharged at D10 of her hospitalization.