Prenatal diagnosis of fetal midgut volvulus: a case report

Autor: Neelam Jain, Sandeep Singh Awal, Som Biswas, Tanushree Ghosh
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 16, Iss 1, Pp 1-4 (2022)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/s13256-022-03720-0
Popis: Abstract 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.
Databáze: Directory of Open Access Journals
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