Infarcted intestinal volvulus detected by prenatal ultrasonography.
This article describes a prenatal ultrasonographic finding of an infarcted intestinal volvulus. Ultrasonography showed polyhydramnios, multiple dilated intestinal loops, increased transverse abdominal area, and ascites. After cesarean section due to premature rupture of membranes and fetal distress, derotation of the infarcted volvulus caused postoperative thrombocytopenia, hyperkalemia, and acidosis and a subsequent resection was required. A high output of intestinal juice from the jejunostomy caused severe hypovolemia and electrolyte imbalance with resultant death. Increased transverse abdominal area caused by marked intestinal dilatation, ascites, fetal distress, and hydrops fetalis may suggest an infarcted intestinal volvulus.
Division of Pediatric Surgery, Department of Surgery, Kinan General Hospital, 510 Minato, 646, Tanabe City, Wakayama, Japan.
T
T
Hasegawa
Y
Y
Yoshioka
T
T
Sasaki
Y
Y
Iwasaki
Y
Y
Miki
J
J
Sumimura
T
T
Tomimatsu
K
K
Shimizu
H
H
Ban
T
T
Dezawa