Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis.
We present a case of volvulus without malrotation in a twin fetus where serial antenatal US assisted in the diagnosis and ensured prompt postnatal surgical treatment. When a fetal subumbilical intestinal mass is seen, changing its echogenicity from complex to cystic, and associated with progressive proximal small-bowel obstruction and/or bowel perforation, small-bowel volvulus should be included in the differential diagnosis.
Jéquier
Sigrid
S
Department of Paediatric Radiology, Children's Hospital, University of Geneva, 6 rue Willy Donzé, 1112 Geneva, Switzerland. jcjequier@bluewin.ch
Hanquinet
Sylviane
S
Bugmann
Philippe
P
Pfizenmaier
Miriam
M
D004200:Diseases in Twins; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000235:genetics / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal