Sonographic diagnosis of fetal intestinal volvulus with ileal atresia: A case report

Wang, Yu; Ai-lu, Cai; Wang, Bing

doi:10.1002/jcu.21896

Cited by 18 publications

(29 citation statements)

References 10 publications

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“…In fact, intestinal atresia can develop after or before the volvulus. On one hand, as stated above and consistent with Yu et al (2013), atresia can result from intrauterine volvulus causing ischaemia followed by atresia of the associated intestine. On the other hand, Ogunyemi (2000) showed that ileal atresia could possibly occur first and therefore, increased peristalsis in the dilated intestine before the atresia could result in volvulus.…”

supporting

confidence: 53%

“…It may cause complications or lesions including vascular obstruction, congestion, haemorrhage, ischaemic injury and infarction (Gelberg, 2012). Intestinal atresia in approximately 25% of cases is followed by intestinal volvulus (Ogunyemi, 2000;Yu et al, 2013). Here, we present congenital type II terminal ileal atresia with the absence of the ileocaecal valve and volvulus of the ileum and the terminal part of the jejunum in a newborn goat.…”

mentioning

confidence: 89%

“…The affected newborns may die due to autointoxication within a few days after birth (Radostitis et al, 2007). Intestinal volvulus is another life-threating condition in which a segment of the intestine twists on the mesenteric axis (Yu et al, 2013). It may cause complications or lesions including vascular obstruction, congestion, haemorrhage, ischaemic injury and infarction (Gelberg, 2012).…”

mentioning

confidence: 99%

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Ileal atresia concurrent with agenesis of the ileocaecal valve and intestinal volvulus in a goat kid

Tajik¹

2017

BJVM

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Atresia of the distal ileum concurrent with ileocaecal valve agenesis is one of the rare types of intestinal atresia with very few reports in the literature. We herein present a case of type II distal ileal atresia, ileocaecal valve agenesis and volvulus of the ileum and the terminal jejunum with a history of depression, anorexia and failure to pass meconium. On necropsy, volvulus of the ileum and the terminal jejunum was found. The ileum was distended, full of fluid and gas, and similar to a blind-end sac. The ileocaecal valve was absent and the ileum was attached to the caecum by a fibrous band. The caecum was atrophied and small. The distal segments of the intestine were smaller than normal. These findings revealed type II terminal ileal atresia simultaneously agenesis of the ileocaecal valve and intestinal volvulus probably secondary to atresia in a newly born goat kid.

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supporting

confidence: 53%

mentioning

confidence: 89%

mentioning

confidence: 99%

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Ileal atresia concurrent with agenesis of the ileocaecal valve and intestinal volvulus in a goat kid

Tajik¹

2017

BJVM

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“…Volvulus is frequently associated with atresia of the small intestine, which can be the cause or the mechanical consequence of midgut volvulus . In our series, for the cases diagnosed at the earliest stage, volvulus was clearly shown without any evident or substantial intestinal dilatation.…”

Section: Discussionmentioning

confidence: 70%

Prenatal diagnosis of antenatal midgut volvulus: Specific ultrasound features

et al. 2018

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Objective To assess specific, direct, and indirect prenatal ultrasound features in cases of fetal midgut volvulus. Methods Retrospective case series of neonatal volvulus, based on postnatal and prenatal imaging findings that occurred from 2006–2017. Prenatal and postnatal signs including the specific “whirlpool sign” were computed. Postnatal volvulus was confirmed by pathology examination after surgery or neonatal autopsy. Results Thirteen cases of midgut volvulus were identified. Though not a specific sign, a decrease in active fetal movements was reported in eight patients (61.5%). The prenatal whirlpool sign was directly seen in 10 cases, while an indirect but suggestive sign, a fluid‐filled level within the dilated loops, was present in five cases. No intestinal malrotation was observed. Pregnancy outcomes were two terminations of pregnancy, both associated with cystic fibrosis, one early neonatal death, three prenatal spontaneous regressions, and seven favorable outcomes after neonatal surgery with resection of midgut atresia. Conclusions Identification of the whirlpool sign or of a fluid‐filled level within the dilated loops improves the accuracy of ultrasound findings for suspected volvulus. In the absence of total volvulus (in cases of intestinal malrotation) or association with cystic fibrosis, the prognosis appears good.

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“…Various etiologies for intestinal volvulus have been described in infants alive in the neonatal period, including meconium peritonitis and intestinal mesentery defects 1718. Pathognomonic sonographic findings in the third trimester ultrasound examination, such as the whirlpool sign, aids in rapid antenatal diagnosis of intestinal volvulus 192021. Characteristics of these cases are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

Perinatal Survival of a Fetus with Intestinal Volvulus and Intussusception: A Case Report and Review of the Literature

et al. 2013

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Fetal intestinal volvulus is a rare life-threatening condition. Late diagnosis of volvulus contributes to high rate of morbidity and mortality. It has variable degrees of presentation and survival. Intrauterine volvulus may be complicated by intestinal atresia due to ischemic necrosis. To our knowledge, there are three reported cases of term fetal demise. We report a case of fetal intestinal volvulus with perinatal survival of the largest term infant described with this complication to date. The volvulus was associated with type 3A jejunal atresia and intestinal pathology was noted on prenatal ultrasound. The infant was born via urgent cesarean delivery at 376/7 weeks of gestation and underwent emergent exploratory laparotomy with resection of small bowel and primary end-to-end anastomosis. Intrauterine intestinal volvulus may be suspected on prenatal ultrasound but only definitively diagnosed postnatally. Signs of fetal distress and volvulus are rarely associated with reports of survival in the term fetus. We review reported cases of prenatally suspected volvulus in infants documented to survive past the neonatal period. As fetal volvulus and most intestinal atresias/stenoses manifest during the third trimester, we recommend that the limited fetal anatomical survey during growth ultrasounds at 32 to 36 weeks routinely include an assessment of the fetal bowel.

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Sonographic diagnosis of fetal intestinal volvulus with ileal atresia: A case report

Cited by 18 publications

References 10 publications

Ileal atresia concurrent with agenesis of the ileocaecal valve and intestinal volvulus in a goat kid

Ileal atresia concurrent with agenesis of the ileocaecal valve and intestinal volvulus in a goat kid

Prenatal diagnosis of antenatal midgut volvulus: Specific ultrasound features

Perinatal Survival of a Fetus with Intestinal Volvulus and Intussusception: A Case Report and Review of the Literature

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