Abstract
We present a case of a twin gestation in which one twin developed a complex abdominal mass and signs of small bowel obstruction. Following delivery, an exploratory laparotomy revealed a meconium pseudocyst and midgut volvulus. While the infant survived, a large portion of small bowel was atretic, resulting in short bowel syndrome. The prenatal diagnosis of volvulus is rare. When volvulus is present, the risk of bowel infarction is high, with variable perinatal outcome.
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Samuel N, Dicker D, Feldberg D, Goldman JA (1984) Ultrasound diagnosis and management of fetal intestinal obstruction and volvulus in utero. J Perinat Med 12: 333
Alvarez M, Lasker MR, Friedman F, Chitkara U, Berkowitz RL, Holzman IR (1991) Sonographic findings in a twin with congenital fetal volvulus. J Clin Ultrasound 19: 98
Baxi LV, Yeh MN, Blanc WA, Schullinger JN (1983) Antepartum diagnosis and management of in utero intestinal volvulus with perforation. N Engl J Med 308: 1519
Finley BE, Burlbaw J, Bennett TL, Levitch L (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: 223
Bergmans MGM, Merkus JMWM, Baars AM (1984) Obstetrical and neonatological aspects of a child with atresia of the small bowel. J Perinat Med 12: 325
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Mercado, M.G., Bulas, D.I. & Chandra, R. Prenatal diagnosis and management of congenital volvulus. Pediatr Radiol 23, 601–602 (1993). https://doi.org/10.1007/BF02014977
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DOI: https://doi.org/10.1007/BF02014977