Fetal intestinal volvulus without malrotation detected on prenatal ultrasound

Intrauterine intestinal volvulus without malrotation presenting neonatal abdominal compartment syndrome

“…No well-defined diagnostic criteria exist for abdominal compartment syndrome in neonates [4] . Neonatal abdominal compartment syndrome has a high mortality rate (29 %), and early surgical treatment is usually required [4] .…”

“…No well-defined diagnostic criteria exist for abdominal compartment syndrome in neonates [4] . Neonatal abdominal compartment syndrome has a high mortality rate (29 %), and early surgical treatment is usually required [4] . In this case, the patient's haemodynamic status was not unstable, but the newborn had severe abdominal distention leading to prominent respiratory distress; therefore, we made a clinical diagnosis of abdominal compartment syndrome.…”

“…Most previous case reports also demonstrated abnormalities in fetal vital signs, mainly concerning respiratory rather than circulatory features [5] , [6] , [12] , [14] , [15] , [20] ; the possibility of abdominal compartment syndrome needs to be considered when respiratory distress is observed in addition to abdominal distention in neonates. Meconium ileus, necrotising enterocolitis (NEC), and bowel perforation should be considered as the differential diagnoses that can cause abdominal compartment syndrome immediately after birth [2] , [3] , [4] , [8] , [9] , [10] .…”

“…Intestinal volvulus without malrotation is one of the differential diagnoses of fetal intestinal dilatation [1] . This is an extremely rare condition known to cause abdominal compartment syndrome in newborns [2] , [3] , [4] . A clear aetiology is yet to be established [5] , [6] , and early prenatal diagnosis is difficult because the signs and symptoms are non-specific [5] , [6] .…”