Infarcted intestinal volvulus detected by prenatal ultrasonography.

Area of Science:

• Perinatology
• Pediatric Surgery
• Medical Imaging

Background:

• Intestinal volvulus is a rare but serious condition in neonates.
• Prenatal diagnosis of intestinal volvulus is challenging.
• Infarcted intestinal volvulus can lead to severe fetal compromise.

Purpose of the Study:

• To describe the prenatal ultrasonographic findings associated with infarcted intestinal volvulus.
• To highlight the clinical course and management challenges of this condition.
• To improve early detection and management strategies.

Main Methods:

• Case report of a neonate with suspected infarcted intestinal volvulus.
• Detailed review of prenatal ultrasonographic findings.
• Analysis of the postnatal clinical course, surgical management, and outcomes.

Main Results:

• Prenatal ultrasound revealed polyhydramnios, dilated intestinal loops, increased abdominal area, and ascites.
• Postnatal management included cesarean section, volvulus derotation, and intestinal resection.
• Complications included thrombocytopenia, hyperkalemia, acidosis, and high-output jejunostomy leading to death.

Conclusions:

• Prenatal ultrasonographic findings such as increased transverse abdominal area, ascites, and fetal distress may suggest infarcted intestinal volvulus.
• Early recognition and prompt management are crucial but associated with significant risks.
• This condition carries a high mortality rate despite aggressive interventions.