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Journal of Medical Case Reports

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Open Access 01-12-2022 | Ultrasound | Case report

Prenatal diagnosis of fetal midgut volvulus: a case report

Authors: Neelam Jain, Sandeep Singh Awal, Som Biswas, Tanushree Ghosh

Published in: Journal of Medical Case Reports | Issue 1/2022

Abstract

Background

Fetal midgut volvulus is an uncommon yet potentially life-threatening condition. Prenatal diagnosis may pose a challenge, due to the paucity of specific signs and symptoms. Timely prenatal diagnosis of this condition is imperative to prevent fetal mortality and morbidity.

Case presentation

We present a rare case report of fetal midgut volvulus, malrotation, and intestinal obstruction at 32 weeks of gestation in a 31-year-old multigravida Indian patient who presented with decreased fetal movements. Fetal ultrasound revealed midgut volvulus with proximal bowel obstruction and polyhydramnios. The patient underwent emergency surgery, which revealed intestinal malrotation and confirmed the diagnosis of midgut volvulus. Untwisting of the volvulus was done followed by Ladd’s procedure. Follow-up postoperative ultrasound was unremarkable.

Conclusions

Delay in the diagnosis of fetal midgut volvulus leads to poor fetal and maternal outcomes. Hence, it is vital for radiologists, sonologists, and obstetricians to be aware of this condition while performing fetal sonography. Prompt diagnosis and surgical intervention are vital to reduce the morbidity and mortality associated with this condition.

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Title: Prenatal diagnosis of fetal midgut volvulus: a case report
Authors: Neelam Jain
Sandeep Singh Awal
Som Biswas
Tanushree Ghosh
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Ultrasound
Constipation
Ultrasound
Fetal Anemia
Constipation
Published in: Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-022-03720-0

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Prenatal diagnosis of fetal midgut volvulus: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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