title: Intrauterine volvulus without malrotation in a very low-birth-weight preterm infant.
abstract: 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.
authors.affiliation: Cattedra di Chirurgia Pediatrica, Ospedale Generale, Volterra, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Di Maggio
authors.forename: C
authors.initials: C
authors.lastname: De Felice
authors.forename: M
authors.initials: M
authors.lastname: Messina
authors.forename: G
authors.initials: G
authors.lastname: Biagini
authors.forename: G
authors.initials: G
authors.lastname: Tota
authors.forename: R
authors.initials: R
authors.lastname: Bracci
mesh_terms: 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