title: Intrauterine volvulus without malrotation.
abstract: This report describes two cases of intrauterine volvulus without associated intestinal malrotation. Polyhydramnios was present in one neonate; the presentation was very sudden and catastrophic in the other. Neither plain films nor contrast enema indicated the correct preoperative diagnosis in these infants. A "normal" plain film or enema in a suspected case of volvulus may lead to a delay in surgical management resulting in extensive ischemic necrosis of the bowel, often with extremely high mortality. Bile emesis or aspirate in neonates demands a high index of suspicion of intestinal obstruction. Shock, bloody diarrhea, and tense and distended abdomen are ominous, indicating volvulus often with gangrene.
authors.affiliation: Department of Pediatrics, North Shore University Hospital, Manhasset, NY 11030.
authors.forename: S S
authors.initials: SS
authors.lastname: Usmani
authors.forename: K
authors.initials: K
authors.lastname: Kenigsberg
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000151:congenital* / Q000209:etiology / Q000473:pathology; D007422:Intestines / Q000002:abnormalities / Q000473:pathology; D009336:Necrosis