title: Urgent surgical management of a prenatally diagnosed midgut volvulus with malrotation.
abstract: Midgut volvulus is a life-threatening condition that commonly presents during the first year of life rarely antenatally. Here we report successful urgent surgical management of an unusual case with malrotation exhibiting the sonographic findings of volvulus in utero that leads to premature birth. This 34-wk, 2700 g infant was born via spontaneous vaginal delivery. Prenatal ultrasound showed polyhydramnios and 30 x 40 mm cystic lesion showing whirlpool sign in abdomen that made us think midgut volvulus. The patient had distended abdomen with skin discoloration. An emergency surgical management was performed showing malrotation, volvulus and a 15 cm ischemic necrotic region of terminal ileum.
authors.affiliation: Pediatric Surgery Division, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Yilmaz
authors.forename: G
authors.initials: G
authors.lastname: Demirel
authors.forename: H O
authors.initials: HO
authors.lastname: Ulu
authors.forename: I H
authors.initials: IH
authors.lastname: Celik
authors.forename: O
authors.initials: O
authors.lastname: Erdeve
authors.forename: S S
authors.initials: SS
authors.lastname: Oguz
authors.forename: U
authors.initials: U
authors.lastname: Dilmen
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery*; D016216:Ultrasonography, Prenatal