PubMedCrossRef 53. Wunder C, Eichelbronner O, Roewer N: Are IL-6, IL-10 and PCT plasma concentrations reliable for outcome prediction in severe sepsis? A comparison with APACHE III and SAPS II. Inflamm Res 2004, 53:158–163.PubMedCrossRef 54. Novotny A, Emanuel K, Matevossian E, Kriner M, Ulm K, Bartels

H, Holzmann B, Weighardt H, Siwert J-R: Use of procalcitonin for early prediction of lethal outcome of postoperative sepsis. Am J Surg 2007, 194:35–39.PubMedCrossRef Competing interests The authors declare that they have no competing interests. Authors’ contribution JS and KM are equally engaged into the study: Study design, data collection, statistical analysis, Selleckchem YH25448 data interpretation, manuscript preparation, literature search, and funds collection. Both authors read and approved the final manuscript.”
“Background Sigmoid volvulus in pregnancy is a rare but serious complication associated with a significant maternal PX-478 and fetal

mortality [1]. The fundamental problem of sigmoid volvulus in pregnancy until is that of delay in presentation and further delay in diagnosis leading to ischemia of the colon, which requires bowel resection and colostomy as seen in most of the reported cases [2–20]. Timely surgical intervention is essential to reduce maternal and fetal morbidity

and mortality [1]. Perforation, peritonitis and sepsis can be the maternal complications if intervention is not done early in the course of the disease. The fetal complications include preterm delivery, intrauterine death and neonatal sepsis. We have reviewed the available literature on this subject and report another case of a 30-week pregnant lady who presented to us with complicated sigmoid volvulus (Table 1). There is a need to increase the awareness amongst the general practitioners and community obstetricians for this potentially life threatening condition. A high index of suspicion and judicious use of modern radiological imaging may help make an early diagnosis and improve the maternal and fetal outcomes.