A unique sonographic presentation of prenatal volvulus associated with malrotation

Abstract

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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.…”