title: [The significance of electronic CTG for intrauterine volvulus in the 32nd week of gestation].
abstract: Intrauterine intestinal volvulus is a difficult diagnosis to make, but has life-threatening implications for the fetus. We present a case of vulvulus without malrotation in a single fetus revealed in the 32nd gestation week in a 44-year-old woman. The presenting complaint of this patient was reduced fetal movements. Ultrasound examination showed a normal result except for a dilated stomach. Doppler ultrasound results were within the normal range. Computed cardiotocography (CTG) showed pathological results for acceleration and suspect values for variability. Short-term variability (STV) was at 2.80 ms. Due to the pathological computed CTG results a Caesarian section was carried out. The newborn received prompt postnatal surgical treatment and continues to be in good overall condition.
authors.affiliation: Frauenklinik der Universität Witten / Herdecke, Marien-Hospital, Witten.
authors.forename: S
authors.initials: S
authors.lastname: Schiermeier
authors.forename: J
authors.initials: J
authors.lastname: Reinhard
authors.forename: G
authors.initials: G
authors.lastname: Westhof
authors.forename: W
authors.initials: W
authors.lastname: Hatzmann
mesh_terms: D000328:Adult; D015148:Cardiotocography / Q000379:methods*; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000151:congenital* / Q000175:diagnosis*; D011247:Pregnancy; D011261:Pregnancy Trimester, First