Intrauterine volvulus without malrotation in a very low-birth-weight preterm infant.
Midgut volvulus without abnormalities of intestinal rotation/fixation is an extremely rare cause of acute intestinal obstruction in the neonatal period with a high morbidity and mortality. The authors describe an intrauterine volvulus without malrotation in a 970g preterm girl born at 27 weeks' gestation. The discrepancy between minimally evocatory clinical manifestations and severity of intestinal pathology is underscored. Resection of the necrotic bowel and primary end-to-end anastomosis within 30 hours of birth was followed by a favorable outcome. A literature review indicates a significant relation of intrauterine midgut volvulus without malrotation to preterm birth with low-birth-weight, immediate postnatal presentation and favorable prognosis.
Di Maggio
G
G
Cattedra di Chirurgia Pediatrica, Ospedale Generale, Volterra, Italy.
De Felice
C
C
Messina
M
M
Biagini
G
G
Tota
G
G
Bracci
R
R
D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019102:Infant, Very Low Birth Weight; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011859:Radiography; D016216:Ultrasonography, Prenatal