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Pediatric Radiology
Published in: Pediatric Radiology 4/2003

01-04-2003 | Case Report

Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis

Authors: Sigrid Jéquier, Sylviane Hanquinet, Philippe Bugmann, Miriam Pfizenmaier

Published in: Pediatric Radiology | Issue 4/2003

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Abstract

We present a case of volvulus without malrotation in a twin fetus where serial antenatal US assisted in the diagnosis and ensured prompt postnatal surgical treatment. When a fetal subumbilical intestinal mass is seen, changing its echogenicity from complex to cystic, and associated with progressive proximal small-bowel obstruction and/or bowel perforation, small-bowel volvulus should be included in the differential diagnosis.
Literature
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Pacros JP, Sann L, Genin G, et al (1992) Ultrasound diagnosis of midgut volvulus: the "whirlpool" sign. Pediatr Radiol 22:18–20PubMed
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Miyakoshi K, Tanaka M, Miyazaki T, et al (1998) Prenatal ultrasound diagnosis of small-bowel torsion. Obstet Gynecol 91:802–803CrossRefPubMed
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Ogunyemi D (2000) Prenatal ultrasonographic diagnosis of ileal atresia and volvulus in a twin pregnancy. J Ultrasound Med 19:723–726PubMed
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Finley BE, Burlbaw J, Bennett TL, et al (1992) Delayed return of the fetal midgut to the abdomen resulting in volvulus, bowel obstruction, and gangrene of the small intestine. J Ultrasound Med 11:233–235PubMed
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Mercado MG, Bulas DI, Chandra R (1993) Prenatal diagnosis and management of congenital volvulus. Pediatr Radiol 23:601–602PubMed
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Black PR, Mueller D, Crow J, et al (1994) Mesenteric defects as a cause of intestinal volvulus without malrotation and as the possible primary etiology of intestinal atresia. J Pediatr Surg 29:1339–1343PubMed
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Morikawa N, Namba S, Fujii Y, et al (1999) Intrauterine volvulus without malrotation associated with segmental absence of small intestinal musculature. J Pediatr Surg 34:1549–1551PubMed
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Yoo SJ, Park KW, Cho SY, et al (1999) Definitive diagnosis of intestinal volvulus in utero. Ultrasound Obstet Gynecol 13:200–203CrossRefPubMed
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Metadata
Title
Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis
Authors
Sigrid Jéquier
Sylviane Hanquinet
Philippe Bugmann
Miriam Pfizenmaier
Publication date
01-04-2003
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2003
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-0871-3

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