2018
DOI: 10.1155/2018/5312179
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Fetal Midgut Volvulus with Meconium Peritonitis Detected on Prenatal Ultrasound

Abstract: Background Fetal volvulus is a rare, yet life-threatening condition that requires skilful diagnosis and management. Volvulus occurs when bowel loops become twisted and the twisting of the mesenteric artery leads to congestion, impaired venous return, and bowel necrosis. Case Description We present a case of fetal ileal volvulus suspected on third trimester ultrasound, complicated by premature labour, small bowel necrosis, and meconium peritonitis. Progressive dilatation and decreased peristalsis of echogenic b… Show more

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Cited by 16 publications
(43 citation statements)
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“…In our case, we were able to identify the superior mesenteric artery in the center of the twisted bowel loops but did not detect further flow in the surrounding mesentery between them, which is similar to the observations of Yoo et al . and Best et al …”
supporting
confidence: 92%
See 1 more Smart Citation
“…In our case, we were able to identify the superior mesenteric artery in the center of the twisted bowel loops but did not detect further flow in the surrounding mesentery between them, which is similar to the observations of Yoo et al . and Best et al …”
supporting
confidence: 92%
“…Color Doppler can play a valuable role in the diagnosis of midgut volvulus when the involved bowel cannot be dilated or if air in the bowel negatively impacts the resolution of the twisted bowel loops. In our case, we were able to identify the superior mesenteric artery in the center of the twisted bowel loops but did not detect further flow in the surrounding mesentery between them, which is similar to the observations of Yoo et al 5 and Best et al 6 . The absence of identifiable flow between the loops may suggest poor bowel perfusion 7 .…”
supporting
confidence: 91%
“…MRI can be used complementarily to detect gastrointestinal anomalies, such as malformation, bowel atresia and cystic lesions 5 . In our case, bowel volvulus was indicated by our first ultrasonography examination, and then the location of atresia was found based on dynamic follow‐up assessments by ultrasonography after MRI provided information on the small bowel atresia.…”
Section: Discussionmentioning
confidence: 90%
“…Despite the presence of a few reported cases that were complicated by intestinal perforation, peritonitis, and bowel necrosis, the overall prognosis was good with eventual tolerance of feeds and weight gain. 18 Postoperative short bowel syndrome is a known complication of bowel resection in general, but the remaining bowel length after small bowel volvulus resection is usually sufficient to allow normal feeding and growth. 19 After a few precarious days of postoperative course of action, our baby remained stable, tolerated feeds without any signs of short bowel syndrome, showed satisfactory weight gain, and was discharged in stable clinical condition.…”
Section: Discussionmentioning
confidence: 99%