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01-08-2014 | Case Report

Prenatal diagnosis and management of an intestinal volvulus with meconium ileus and peritonitis

Authors: Z. F. Takacs, C. M. Meier, E.-F. Solomayer, L. Gortner, G. Meyberg-Solomayer

Published in: Archives of Gynecology and Obstetrics | Issue 2/2014

Abstract

Fetal intestinal volvulus is a rare but serious finding with a high risk of potential life threatening fetal complications. Delay in diagnosis or treatment can increase mortality and morbidity. We report a case of mild fetal bowel dilatation at 30 weeks of gestation and intestinal volvulus presented by the ‘whirl-sign’, intestinal perforation and meconium peritonitis with fetal ascites and polyhydramnios at 33 weeks of gestation. This case emphasizes the role of examination of the bowel in third trimester ultrasound and the importance of quick decision to delivery and interdisciplinary perinatal management at suspected fetal volvulus with bowel necrosis and intraabdominal bleeding.

Has R, Gunay S (2002) Whirlpool sign in the prenatal diagnosis of intestinal volvulus. Ultrasound Obstet Gynecol 20:307–308PubMedCrossRef

Uerpairojkit B, Charoenvidhya D, Tanawattanacharoen S et al (2001) Fetal intestinal volvulus: a clinico-sonographic finding. Ultrasound Obstet Gynecol 18:186–187PubMedCrossRef

Durand M, Coste K, Martin A et al (2008) Fetal midgut volvulus as a sign for cystic fibrosis. Prenat Diagn 28:973–974PubMedCrossRef

Noreldeen S, Hodgett S, Venkat-Raman N (2008) Midgut volvulus with hemorrhagic ascites: a rare cause of fetal anemia. Ultrasound Obstet Gynecol 31:352–354PubMedCrossRef

Chao H-C, Kong M-S, Chen J-Y et al (2000) Sonographic features related to volvulus in neonatal intestinal malrotation. J Ultrasound Med 19:371–376PubMed

Carlyle BE, Borowitz DS, Glick PL (2012) A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon. J Pediatr Surg 47:772–781PubMedCrossRef

Gorter R, Karimi A, Sleeboom C et al (2010) Clinical and genetic characteristics of meconium ileus in newborns with and without cystic fibrosis. J Pediatr Gastroenterol Nutr 50:569–572PubMed

Paradiso VF, Briganti V, Oriolo L et al (2011) Meconium obstruction in absence of cystic fibrosis in low birth weight infants: an emerging challenge from increasing survival. Ital J Pediatr 37:1–5CrossRef

Del Pin CA, Czyrko C, Ziegler MM et al (1992) Management and survival of meconium ileus. A 30-year review. Ann Surg 215:179PubMedCentralPubMedCrossRef

10.

Mari G, Deter RL, Carpenter RL et al (2000) Noninvasive diagnosis by Doppler ultrasonography of fetal anemia due to maternal red-cell alloimmunization. N Engl J Med 342:9–14PubMedCrossRef

11.

Pelizzo G, Codrich D, Zennaro F et al (2008) Prenatal detection of the cystic form of meconium peritonitis: no issues for delayed postnatal surgery. Pediatr Surg Int 24:1061–1065PubMedCrossRef

12.

Boix-Ochoa J, Lloret J (2003) Meconium peritonitis. Newborn Surgery. Arnold Publishers, London, pp 471–477

Title: Prenatal diagnosis and management of an intestinal volvulus with meconium ileus and peritonitis
Authors: Z. F. Takacs
C. M. Meier
E.-F. Solomayer
L. Gortner
G. Meyberg-Solomayer
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 2/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-014-3223-7

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Prenatal diagnosis and management of an intestinal volvulus with meconium ileus and peritonitis

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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