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Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis
Sigrid Jéquier1, Sylviane Hanquinet, Philippe Bugmann
1Department of Paediatric Radiology, Children's Hospital, University of Geneva, 6 rue Willy Donzé, 1112 Geneva, Switzerland. jcjequier@bluewin.ch
Pediatric Radiology
|April 24, 2003
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.