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A fetal case with midgut volvulus.

K Suzumori1, R Adachi, Y Yagami

  • 1Department of Obstetrics and Gynecology, Nagoya City University Medical School, Japan.

Asia-Oceania Journal of Obstetrics and Gynaecology
|March 1, 1990
PubMed
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Midgut volvulus in a fetus caused chest compression. Draining fluid from the abdomen improved the fetal profile, leading to survival after cesarean delivery and fluid removal.

Area of Science:

  • Fetal medicine
  • Pediatric surgery
  • Medical imaging

Background:

  • Midgut volvulus is a rare congenital anomaly.
  • Polyhydramnios can be a sign of fetal gastrointestinal obstruction.

Observation:

  • A fetus presented with sonographic evidence of dilated, fluid-filled structures in the upper abdomen causing chest compression.
  • These findings were suggestive of midgut volvulus.

Findings:

  • Percutaneous aspiration of the abdominal mass revealed meconium-stained fluid.
  • Fluid removal led to an improved fetal biophysical profile.

Implications:

  • This case demonstrates the potential benefit of in-utero intervention for fetal midgut volvulus.

Related Experiment Videos

  • Successful management involved percutaneous drainage, cesarean delivery, and postnatal surgical intervention.