title: Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion.
abstract: Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.
authors.affiliation: Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: YEsterson@northwell.edu.
authors.forename: Yonah B
authors.initials: YB
authors.lastname: Esterson
authors.affiliation: Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: RVillani@northwell.edu.
authors.forename: Robert
authors.initials: R
authors.lastname: Villani
authors.affiliation: Department of Surgery, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: RDeLaCru@northwell.edu.
authors.forename: Ronald A
authors.initials: RA
authors.lastname: Dela Cruz
authors.affiliation: Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: BFriedma@northwell.edu.
authors.forename: Barak
authors.initials: B
authors.lastname: Friedman
authors.affiliation: Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: GGrimald@northwell.edu.
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Grimaldi
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D004065:Digestive System Abnormalities / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging*; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
keywords: Mesenteric ischemia; Midgut volvulus; Pregnancy; Small bowel volvulus; Superior mesenteric artery occlusion; Third trimester