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Case Reports
. 2022 Dec 28;16(1):482.
doi: 10.1186/s13256-022-03720-0.

Prenatal diagnosis of fetal midgut volvulus: a case report

Neelam Jain  1 , Sandeep Singh Awal  2 , Som Biswas  3 , Tanushree Ghosh  4
Affiliations
Case Reports

Prenatal diagnosis of fetal midgut volvulus: a case report

Neelam Jain et al. J Med Case Rep. .

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.

Keywords: Fetal midgut volvulus; Intrauterine; Malrotation; Ultrasound; Whirlpool sign.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
A,B Transverse transabdominal fetal sonography images demonstrating dilated bowel loops (white arrow) up to 2.3 mm (A) and classic “whirlpool sign” of twisted mesentery (yellow arrow) within the fetal abdomen (B)
Fig. 2
Fig. 2
Intraoperative view of the intestine demonstrating midgut volvulus
See this image and copyright information in PMC

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