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Midgut malrotation presenting with hyperemesis gravidarum: A case report
Hongjiang Zhao1,2, Linzhen Wu3, Bin Yang4
1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Medicine
|July 29, 2022
Summary
Midgut malrotation, a rare congenital condition, can mimic hyperemesis gravidarum in pregnant women. Early diagnosis and conservative management are crucial for favorable outcomes.
Area of Science:
- Medical Diagnostics
- Congenital Abnormalities
- Gastroenterology
Background:
- Midgut malrotation is a rare congenital abnormality.
- It results from incomplete intestinal rotation during fetal development.
- Symptoms can be non-specific, sometimes resembling hyperemesis gravidarum.
Observation:
- A 27-year-old pregnant woman presented with severe nausea and vomiting.
- Magnetic resonance imaging revealed midgut malrotation.
- The condition mimicked hyperemesis gravidarum.
Findings:
- Conservative management was initiated due to stable maternal vital signs.
- The patient underwent a mid-trimester abortion due to fetal hydrocephalus.
- Post-delivery, maternal symptoms resolved, confirming midgut malrotation.
Implications:
- Midgut malrotation should be considered in the differential diagnosis of hyperemesis gravidarum.
- Conservative management with close monitoring is recommended for pregnant patients.
- This case highlights the importance of thorough diagnostic evaluation in pregnancy.
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