Abstract
We report two cases of malrotation with extremely different outcomes based on the availability and non-availability of antenatal scanning. The first one had a single third trimester ultrasound which detected malrotation and helped in saving baby’s life whereas the second baby without antenatal screening succumbed to midgut volvulus and its sequelae because of delayed presentation. In developing countries where most of the pregnancies may go unsupervised, a single third trimester scan for fetal anomalies by an experienced sonologist, in areas where routine antenatal screening program has failed or not feasible can help save the baby’s life at least in surgically correctable anomalies. This may be an important strategy to reduce the infant mortality rate in the country.
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References
Ewigman B, Cornelison S, Horman D, LeFevre M. Use of routine prenatal ultrasound by private practice obstetricians in Iowa. J Ultrasound Med 1991;10:427–431.
Jeanty P, Romero R, Hobbins JC. Routine use. In McGahan JP, ed. Controversies in ultrasound. New York: Churchill Livingstone, 1987; 113–122.
Youngblood JP. Should ultrasound be used routinely during pregnancy? An affirmative view. J Fam Pract 1989; 29:657–660.
Saari-Kemppainen A, Karjalainen O, Ylostalo P, Heinonen OP. Ultrasound screening and perinatal mortality: controlled trial of systematic one-stage screening in pregnancy. Lancet 1990; 336: 387–391
Luck GA. Value of routine ultrasound scanning at 19 weeks: a 4-year study of 8849 deliveries. BMJ 1992; 304:147–148.
Crane JP, Fevre MLL, Winborn RC, et al and the RADIUS Study Group. A randomized trial of prenatal ultrasonographic on detection, screening: Impact management and outcome of anomalies fetus. Am J Obstet Gynecol 1994;171:392–399.
Rosendhal H, Kivinen S. Antenatal detection of congenital malformation by routine ultrasonography. Obstet Gynecol 1989;73:947–51
Seashore JH, Touloukian RJ: Midgut Volvulus: An ever present threat. Arch Pediatr Adolsc Med 1994;148:43.
Andrassy RJ, Mahour GH: Malrotaion of the midgut in infants and children. Arch Surg 1981; 116:158.
Marcus MM, Randall SB: Surgical treatment of malrotation after infancy: a population based study. J Pediatr Surg 2005; 40: 285–289.
Verma IC. Symposium: Medical genetics in India: Editorial. Indian J Pediatr 1986; 53: 437–440.
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Bawa, M., Kannan, N.L. Even a single third trimester antenatal fetal screening for congenital anomalies can be life saving. Indian J Pediatr 77, 103–104 (2010). https://doi.org/10.1007/s12098-009-0252-5
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DOI: https://doi.org/10.1007/s12098-009-0252-5