Intrauterine volvulus without malrotation associated with segmental absence of small intestinal musculature.
A case of intrauterine intestinal volvulus without malrotation is presented, and 9 other cases from the world literature are reviewed. Bloody diarrhea, bluish discoloration of the abdominal wall (Cullen's sign), and a tense abdomen in neonates suggest midgut volvulus requiring prompt surgical management. On pathological examination, the neck of the twisted bowel in this case showed a half-circle defect of the intestinal muscle. This suggests that a segmental defect of the intestinal musculature could be secondary to volvulus.
Morikawa
N
N
Department of Pediatric Surgery, Ota General Hospital, Gunma, Japan.
Namba
S
S
Fujii
Y
Y
Sato
Y
Y
Fukuba
K
K
D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000150:complications* / Q000473:pathology; D007421:Intestine, Small / Q000002:abnormalities / Q000473:pathology; D009130:Muscle, Smooth / Q000002:abnormalities* / Q000473:pathology; D011247:Pregnancy; D016216:Ultrasonography, Prenatal