Definitive diagnosis of intestinal volvulus in utero.
Midgut volvulus with or without intestinal malrotation can occur in fetal life. Several reports have described congenital midgut volvulus showing non-specific sonographic findings of intestinal obstruction and perforation in utero. None of the previously reported cases, however, were definitively diagnosed as midgut volvulus by fetal sonography. We report two cases both exhibiting the sonographic 'whirlpool' sign, in utero. Color Doppler interrogation provided a clue to the viability of the involved intestinal segment.
Yoo
S J
SJ
Department of Radiology, Sejong General Hospital, Kyunggi-do, Korea.
Park
K W
KW
Cho
S Y
SY
Sim
J S
JS
Hhan
K S
KS
D000328:Adult; D002429:Cecal Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D004378:Duodenal Diseases / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011247:Pregnancy; D014102:Torsion Abnormality / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal