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

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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.

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References

  1. Pacros JP, Sann L, Genin G, et al (1992) Ultrasound diagnosis of midgut volvulus: the "whirlpool" sign. Pediatr Radiol 22:18–20

    CAS  PubMed  Google Scholar 

  2. Miyakoshi K, Tanaka M, Miyazaki T, et al (1998) Prenatal ultrasound diagnosis of small-bowel torsion. Obstet Gynecol 91:802–803

    Article  CAS  PubMed  Google Scholar 

  3. Ogunyemi D (2000) Prenatal ultrasonographic diagnosis of ileal atresia and volvulus in a twin pregnancy. J Ultrasound Med 19:723–726

    CAS  PubMed  Google Scholar 

  4. 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 11:233–235

    CAS  PubMed  Google Scholar 

  5. Mercado MG, Bulas DI, Chandra R (1993) Prenatal diagnosis and management of congenital volvulus. Pediatr Radiol 23:601–602

    CAS  PubMed  Google Scholar 

  6. 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 29:1339–1343

    CAS  PubMed  Google Scholar 

  7. Morikawa N, Namba S, Fujii Y, et al (1999) Intrauterine volvulus without malrotation associated with segmental absence of small intestinal musculature. J Pediatr Surg 34:1549–1551

    CAS  PubMed  Google Scholar 

  8. Yoo SJ, Park KW, Cho SY, et al (1999) Definitive diagnosis of intestinal volvulus in utero. Ultrasound Obstet Gynecol 13:200–203

    Article  CAS  PubMed  Google Scholar 

  9. Alvarez M, Lasker MR, Friedman F, et al (1991) Sonographic findings in a twin with congenital fetal volvulus. J Clin Ultrasound 19:98–100

    CAS  PubMed  Google Scholar 

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Correspondence to Sigrid Jéquier.

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Presented as a poster at the 4th IPR, Paris, May 2001

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Jéquier, S., Hanquinet, S., Bugmann, P. et al. Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis. Ped Radiol 33, 263–265 (2003). https://doi.org/10.1007/s00247-003-0871-3

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  • DOI: https://doi.org/10.1007/s00247-003-0871-3

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