Ultrasound Diagnostic a Case of Midgut Volvulus without Malrotation in a Newborn (Clinical Observation)
Abstract
Fetal midgut volvulus is quite rare, and most cases are associated with abnormalities of intestinal rotation or fixation. Our case is a rare presentation with the occurrence of volvulus without malrotation. Very few cases have been reported describing the ultrasound findings of the same. This 3,7 kg, 39-wk infant was born via a spontaneous vaginal delivery. Prenatal ultrasound didn’t showed any abnormalities. The patient had presentation with a distended abdomen showing bluish skin discoloration. Postnatal ultrasound showed dilated bowel loops with the appearance of a whirpool-sign without Doppler coloration a mesenterial vessels and a atypical coffee bean sign. An emergency laparotomy revealed an ilial volvulus with and a 60 cm ischemic necrotic region of terminal ileum. The results of the sonography and the short review of the literature is present.
About the Authors
Elena B. Ol’khova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
M. D. Med., Professor of Department of Radiology
Elena V. Kartseva
Moscow Clinical Municipal Children Hospital St. Vladimir
Russian Federation
Russian Federation
Chief Neonatal Surgery Department
Evgeniya V. Kuznetsova
Moscow Clinical Municipal Children Hospital St. Vladimir
Russian Federation
Russian Federation
Surgeon-Neonatonogist of Neonatal Surgery Department
Aleksey S. Kirsanov
Moscow Clinical Municipal Children Hospital St. Vladimir
Russian Federation
Russian Federation
Surgeon-Neonatonogist of Neonatal Surgery Department
Elena Yu. Dzemeshko
Moscow Clinical Municipal Children Hospital St. Vladimir
Russian Federation
Russian Federation
Anestesiologist
References
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Review
For citations:
Ol’khova E., Kartseva E., Kuznetsova E., Kirsanov A., Dzemeshko E. Ultrasound Diagnostic a Case of Midgut Volvulus without Malrotation in a Newborn (Clinical Observation). Radiology - Practice. 2016;(3):85-90. (In Russ.)
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