Evaluation of ultrasonography in fetal intestinal malrotation with midgut volvulus

Yang, Lin; Chen, Huie; Lv, Guorong; Li, Feifei; Liao, Jianmei; Ke, Linfang

doi:10.5603/gp.a2021.0237

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Intestinal volvulus in utero is reported as a rare neonatal surgical emergency [1,[5][6][7]. Prenatal diagnosis and sonographic findings include dilated bowel loops, the whirlpool, coffee bean, kinked loop signs, and polyhydramnios [2,8].…”

Section: Discussionmentioning

confidence: 99%

Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report

et al. 2023

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Background In utero intestinal volvulus with intestinal atresia is a rare and life-threatening condition that can cause torsion of the dilated bowel. The management and outcomes of this disease remain unclear. Case presentation A 19-year-old woman noticed a decrease in fetal motion at 35 weeks. Fetal ultrasound showed dilated fetal bowel and the whirlpool sign. The patient was referred to our hospital for an emergency cesarean section. The neonate’s abdomen was dark and severely distended, and a laparotomy was performed. Necrotic ileum and cord-type intestinal atresia (Type II) were observed in the dilated terminal ileum. The necrotic ileum was resected, and a second-look surgery was performed the following day. Then, we anastomosed the remaining intestine, and the total intestine length was 52 cm. There were no surgical complications, and the patient was discharged without requiring total parenteral nutrition or fluid infusion. The patient’s height and weight were within the − 2 standard deviation range of the growth curve at 5 months. Conclusions Emergency and appropriate management of intestinal volvulus in utero causing torsion of the dilated bowel resulted in good outcomes in a patient with intestinal atresia. Perinatal physicians should be aware of this emergency condition and plan their treatment approach accordingly.

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Section: Discussionmentioning

confidence: 99%

Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report

et al. 2023

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“…Malrotation is a defect in which intestinal rotation is incomplete, and mesenteric fixation does not occur. Malrotation can occur during any of the stages of gut rotation but usually occurs during the 10th week [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Reversed intestinal malrotation presenting as bowel obstruction in pregnancy: Case report and literature review

Bhartiya

Maqsood

Naeem

et al. 2022

Annals of Medicine &Amp; Surgery

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The Digestive System

Wang,

Wu,

Zhang

et al. 2023

In Utero Pediatrics

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Evaluation of ultrasonography in fetal intestinal malrotation with midgut volvulus

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Ginekologia Polska" are listed in PubMed.

Cited by 4 publications

References 10 publications

Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report

Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report

Reversed intestinal malrotation presenting as bowel obstruction in pregnancy: Case report and literature review

The Digestive System

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