A rare case of idiopathic intrauterine intestinal volvulus complicated with intestinal perforation: a case report from Syria

Abstract

Fetal intestinal volvulus is rare, but it is a serious condition due to its life-threatening complications. The bowel loop becomes twisted; thus, impaired venous return leads to bowel necrosis. Prenatal volvulus is most secondary to intestinal atresia, arterial supply defect or without any underlying cause, with consideration that cystic fibrosis is the cause of the intestinal obstruction, because of meconium ileus. We report a case of prenatal volvulus complicated with intestinal perforation and meconium peritonitis in the context of meconium ileus.

Fetal malrotation with midgut volvulus: Prenatal diagnosis and planning

“…Risks of premature delivery at 33 weeks include but are not limited to temperature instability, hypoglycemia, feeding intolerance, respiratory distress secondary to surfactant deficiency, and adverse neurodevelopmental outcomes. However, this was weighed against previous reports of fetal midgut volvulus complicated by meconium peritonitis [ 14 , 15 ], hemorrhagic ascites [ 16 ], and fetal demise secondary to midgut volvulus [ 17 , 18 ], along with our knowledge that the presence of a whirlpool (barber pole) sign [ 15 , 19 – 22 ] is associated with bowel ischemia and increases accuracy of diagnosis of midgut volvulus.…”