Intrauterine Intestinal Volvulus

Vázquez, Débora Cañizo; Renau, Montserrat Izquierdo; Clemente, Emilio J. Inarejos; Serrano, Miguel; Capella, Mariona Suñol; Palomo, Ana Morillo

doi:10.1016/j.jpeds.2019.11.017

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…This leads to vascular congestion, poor venous return and eventual bowel obstruction, bowel infarction, perforation, or peritonitis [ 1 – 6 ]. It is more commonly seen postnatally than in the prenatal period [ 2 , 3 , 6 , 7 ]. When encountered prenatally, the diagnosis of midgut volvulus is often challenging in the absence of specific signs and symptoms [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is more commonly seen postnatally than in the prenatal period [ 2 , 3 , 6 , 7 ]. When encountered prenatally, the diagnosis of midgut volvulus is often challenging in the absence of specific signs and symptoms [ 7 ]. Timely diagnosis of this life-threatening condition is imperative to prevent fetal morbidity and mortality [ 3 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Prenatal diagnosis of fetal midgut volvulus: a case report

Jain¹,

Awal²,

Biswas

et al. 2022

J Med Case Reports

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Background Fetal midgut volvulus is an uncommon yet potentially life-threatening condition. Prenatal diagnosis may pose a challenge, due to the paucity of specific signs and symptoms. Timely prenatal diagnosis of this condition is imperative to prevent fetal mortality and morbidity. Case presentation We present a rare case report of fetal midgut volvulus, malrotation, and intestinal obstruction at 32 weeks of gestation in a 31-year-old multigravida Indian patient who presented with decreased fetal movements. Fetal ultrasound revealed midgut volvulus with proximal bowel obstruction and polyhydramnios. The patient underwent emergency surgery, which revealed intestinal malrotation and confirmed the diagnosis of midgut volvulus. Untwisting of the volvulus was done followed by Ladd’s procedure. Follow-up postoperative ultrasound was unremarkable. Conclusions Delay in the diagnosis of fetal midgut volvulus leads to poor fetal and maternal outcomes. Hence, it is vital for radiologists, sonologists, and obstetricians to be aware of this condition while performing fetal sonography. Prompt diagnosis and surgical intervention are vital to reduce the morbidity and mortality associated with this condition.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prenatal diagnosis of fetal midgut volvulus: a case report

Jain¹,

Awal²,

Biswas

et al. 2022

J Med Case Reports

View full text Add to dashboard Cite

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Intrauterine volvulus: systemic review of the literature with pooled analysis

Acer-Demir,

Şahin-Uysal

2024

J Perinatol

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Our objective is to analyse the observations related to intrauterine volvulus and assess how clinical manifestations and treatment strategies impact prognosis. We conducted a comprehensive search on Pubmed and ClinicalTrials.gov from inception to July 2022, using search terms like “intrauterine volvulus” or “foetal volvulus,” supplemented by manual scrutiny of reference lists in relevant texts and articles. Our review encompassed 57 case reports/case series, involving 88 cases. The presence of foetal bradycardia during prenatal visits (p = 0.002) and the existence of meconium cyst or pseudocyst (p = 0.038) significantly influence survival rates. Preterm labour occurred more frequently among cases resulting in mortality (54% vs 21%; p = 0.055). Our study’s limitations include the inability to access all reported cases and reliance solely on available data. We advocate for vigilant monitoring of foetuses exhibiting signs of intestinal obstruction, and consideration of an emergent caesarean section as a pre-emptive measure before foetal biophysical profile deterioration worsens.

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Intrauterine Intestinal Volvulus

Cited by 2 publications

References 5 publications

Prenatal diagnosis of fetal midgut volvulus: a case report

Prenatal diagnosis of fetal midgut volvulus: a case report

Intrauterine volvulus: systemic review of the literature with pooled analysis

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