Midgut volvulus causing fetal demise in utero

Thora S. Steffensen, Enid Gilbert-Barness, Kimberly A. DeStefano, Eftichia V. Kontopoulos

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

□ Intestinal malrotation has an incidence of 1 per 6000 live births. The most serious consequence of malrotation is volvulus. Midgut volvulus is a rare condition in which the small bowel and proximal colon twist around the superior mesenteric artery, leading to a high-grade proximal bowel obstruction and vascular compromise of the intestine, thereby leading to infarction of the involved intestine. Midgut volvulus rarely occcurs antenatally and is usually not lethal in utero. There are only 7 cases of intrauterine fetal demise caused by midgut volvulus reported in the literature. We report a case of intrauterine fetal demise at 38 weeks of gestation, due to cardiovascular failure and shock from midgut volvulus. Non-specific abnormalities, including ascites and dilated bowel, had been seen on the antenatal ultrasound from the 15th week of gestation. In addition to the volvulus, the fetus had intestinal atresia and arthrogryphosis.

Original languageEnglish (US)
Pages (from-to)223-231
Number of pages9
JournalFetal and Pediatric Pathology
Volume27
Issue number4-5
DOIs
StatePublished - Dec 1 2008

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Keywords

  • Antenatal
  • Fetus
  • Intrauterine demise
  • Malrotation
  • Midgut
  • Volvulus

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Steffensen, T. S., Gilbert-Barness, E., DeStefano, K. A., & Kontopoulos, E. V. (2008). Midgut volvulus causing fetal demise in utero. Fetal and Pediatric Pathology, 27(4-5), 223-231. https://doi.org/10.1080/15513810802319608