Fetal Midgut Volvulus with a Cystic Appearance, Accompanying a Sinus Rhythm and an Increased Peak Systolic Velocity without Anemia
Joint Authors
Öksüzoglu, Aysegül
Kaba, Metin
Kaba, Gokcen
Timur, Hakan
Akbaba, Eren
Turgut, Kadriye
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A midgut volvulus rarely occurs in a fetus; however, when it does, it requires an immediate diagnosis and surgery.
Thirty-week pregnant was referred to our clinic with a diagnosis of a fetal abdominal cystic mass and preterm labor.
The initial ultrasound examination revealed a female fetus with a 55 × 50 mm cystic mass in the lower abdomen, which was preliminarily diagnosed as an ovarian cyst.
There was a sinusoidal rhythm on cardiography.
The middle cerebral artery peak systolic velocity was 60.4 cm/sec, compatible with 1.49 MoMs that suggested fetal anemia on Doppler examination.
Uterine contractions were observed with tocography and maternal hydration was administered for tocolytic treatment.
Despite hydration, uterine contractions continued and the infant was delivered.
A newborn ultrasonographic evaluation revealed a 6 cm abdominal cyst, and plain abdominal radiographs revealed distended loops of the small bowel on the left side.
Emergency surgery was performed.
A midgut volvulus leading to dilatation and necrosis of the small bowel without anatomical causes was observed during laparotomy.
The necrotic bowel loop was resected and an end-to-end anastomosis was performed.
The newborn died due to multiorgan failure.
Obstetricians should be familiar with the appropriate diagnosis and management of a fetal volvulus.
American Psychological Association (APA)
Kaba, Metin& Öksüzoglu, Aysegül& Kaba, Gokcen& Timur, Hakan& Akbaba, Eren& Turgut, Kadriye. 2015. Fetal Midgut Volvulus with a Cystic Appearance, Accompanying a Sinus Rhythm and an Increased Peak Systolic Velocity without Anemia. Case Reports in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059124
Modern Language Association (MLA)
Kaba, Metin…[et al.]. Fetal Midgut Volvulus with a Cystic Appearance, Accompanying a Sinus Rhythm and an Increased Peak Systolic Velocity without Anemia. Case Reports in Obstetrics and Gynecology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059124
American Medical Association (AMA)
Kaba, Metin& Öksüzoglu, Aysegül& Kaba, Gokcen& Timur, Hakan& Akbaba, Eren& Turgut, Kadriye. Fetal Midgut Volvulus with a Cystic Appearance, Accompanying a Sinus Rhythm and an Increased Peak Systolic Velocity without Anemia. Case Reports in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059124
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059124