In utero intestinal volvulus presenting as neonatal emergency

Area of Science:

• Medical imaging
• Fetal surgery
• Neonatal care

Background:

• Intestinal volvulus is a rare but serious condition in neonates.
• Prenatal diagnosis of fetal surgical emergencies remains challenging.
• Haemoperitoneum in a fetus can indicate significant intra-abdominal pathology.

Observation:

• A case of in utero intestinal volvulus with haemoperitoneum was identified.
• Prenatal diagnosis was achieved using advanced ultrasonography.
• The condition presented as a surgical emergency in the prenatal period.

Findings:

• Ultrasonography accurately visualized the fetal intestinal malrotation and volvulus.
• The presence of haemoperitoneum was confirmed prenatally.
• The diagnostic findings guided immediate postnatal surgical planning.

Implications:

• Prenatal ultrasonography is a valuable tool for diagnosing fetal surgical emergencies like intestinal volvulus.
• Early diagnosis facilitates timely intervention and improves neonatal outcomes.
• This case highlights the importance of advanced imaging in managing acute fetal abdomen.