title: Fetal small bowel volvulus without malrotation: the whirlpool & coffee bean signs.
abstract: Intestinal volvulus is a common condition seen in infancy and adulthood, but small bowel volvulus is a rare condition affecting the fetus in utero. Very few cases have been reported describing the ultrasound findings of the same. We present a case report of a case of intestinal volvulus which was diagnosed prenatally based on the ultrasound features of whirlpool sign and coffee bean sign. An emergency caesarian section was performed, small bowel volvulus was confirmed on post-natal ultrasound, and the neonate was subsequently operated. Although these signs have been separately described previously in the literature, in our case both these signs were seen in the same patient. Our case is a rare presentation with the occurrence of volvulus without malrotation, the contrary being more common.
authors.affiliation: Department of Radiology, B.Y.L. Nair Charitable Hospital & T.N. Medical College, Mumbai, India.
authors.forename: S G
authors.initials: SG
authors.lastname: Jakhere
authors.affiliation: Department of Radiology, B.Y.L. Nair Charitable Hospital & T.N. Medical College, Mumbai, India.
authors.forename: S A
authors.initials: SA
authors.lastname: Saifi
authors.affiliation: Department of Radiology, B.Y.L. Nair Charitable Hospital & T.N. Medical College, Mumbai, India.
authors.forename: A A
authors.initials: AA
authors.lastname: Ranwaka
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007082:Ileum / Q000473:pathology*; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000196:embryology / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000196:embryology / Q000601:surgery; D008297:Male; D011247:Pregnancy; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal
keywords: Whirlpool sign; coffee bean sign; fetal volvulus