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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Sonographic diagnosis of fetal intestinal volvulus with ileal atresia: a case report
1Department of Ultrasonography, Shengjing Hospital of China Medical University, Sanhao, Street 36, Heping District, Shenyang City, Liaoning Province, 110004, China.
Abstract:
Fetal intestinal volvulus is a rare life-threatening condition usually manifesting after birth with most cases being associated with intestinal malrotation. It appears on prenatal sonography (US) as a twisting of the bowel loops around the mesenteric artery, leading to mechanical obstruction and ischemic necrosis of the bowel. We report a case of intrauterine intestinal volvulus with ileal atresia, suspected when US revealed a typical "whirlpool" sign at 37 weeks' gestation, with a segment of markedly distended bowel loops and small amount of fetal ascites.
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