Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report
Abstract Background In utero intestinal volvulus with intestinal atresia is a rare and life-threatening condition that can cause torsion of the dilated bowel. The management and outcomes of this disease remain unclear. Case presentation A 19-year-old woman noticed a decrease in fetal motion at 35 we...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2023-04-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01645-4 |
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| author | Chiyoshi Toyama Yuki Segawa Shigeo Iijima Takeshi Murakoshi Keigo Nara |
| author_facet | Chiyoshi Toyama Yuki Segawa Shigeo Iijima Takeshi Murakoshi Keigo Nara |
| author_sort | Chiyoshi Toyama |
| collection | DOAJ |
| description | Abstract Background In utero intestinal volvulus with intestinal atresia is a rare and life-threatening condition that can cause torsion of the dilated bowel. The management and outcomes of this disease remain unclear. Case presentation A 19-year-old woman noticed a decrease in fetal motion at 35 weeks. Fetal ultrasound showed dilated fetal bowel and the whirlpool sign. The patient was referred to our hospital for an emergency cesarean section. The neonate’s abdomen was dark and severely distended, and a laparotomy was performed. Necrotic ileum and cord-type intestinal atresia (Type II) were observed in the dilated terminal ileum. The necrotic ileum was resected, and a second-look surgery was performed the following day. Then, we anastomosed the remaining intestine, and the total intestine length was 52 cm. There were no surgical complications, and the patient was discharged without requiring total parenteral nutrition or fluid infusion. The patient’s height and weight were within the − 2 standard deviation range of the growth curve at 5 months. Conclusions Emergency and appropriate management of intestinal volvulus in utero causing torsion of the dilated bowel resulted in good outcomes in a patient with intestinal atresia. Perinatal physicians should be aware of this emergency condition and plan their treatment approach accordingly. |
| format | Article |
| id | doaj-art-9a11862397cf4d21aa43a363cb7410f1 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-9a11862397cf4d21aa43a363cb7410f12025-08-20T03:35:24ZengJapan Surgical SocietySurgical Case Reports2198-77932023-04-01911410.1186/s40792-023-01645-4Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case reportChiyoshi Toyama0Yuki Segawa1Shigeo Iijima2Takeshi Murakoshi3Keigo Nara4Department of Pediatric Surgery, Hamamatsu University School of Medicine, University HospitalDepartment of Pediatrics, Hamamatsu University School of Medicine, University HospitalDepartment of Pediatrics, Hamamatsu University School of Medicine, University HospitalDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Hamamatsu University School of Medicine, University HospitalAbstract Background In utero intestinal volvulus with intestinal atresia is a rare and life-threatening condition that can cause torsion of the dilated bowel. The management and outcomes of this disease remain unclear. Case presentation A 19-year-old woman noticed a decrease in fetal motion at 35 weeks. Fetal ultrasound showed dilated fetal bowel and the whirlpool sign. The patient was referred to our hospital for an emergency cesarean section. The neonate’s abdomen was dark and severely distended, and a laparotomy was performed. Necrotic ileum and cord-type intestinal atresia (Type II) were observed in the dilated terminal ileum. The necrotic ileum was resected, and a second-look surgery was performed the following day. Then, we anastomosed the remaining intestine, and the total intestine length was 52 cm. There were no surgical complications, and the patient was discharged without requiring total parenteral nutrition or fluid infusion. The patient’s height and weight were within the − 2 standard deviation range of the growth curve at 5 months. Conclusions Emergency and appropriate management of intestinal volvulus in utero causing torsion of the dilated bowel resulted in good outcomes in a patient with intestinal atresia. Perinatal physicians should be aware of this emergency condition and plan their treatment approach accordingly.https://doi.org/10.1186/s40792-023-01645-4Intestinal atresiaIn uteroIntestinal volvulusDilated bowelTorsion |
| spellingShingle | Chiyoshi Toyama Yuki Segawa Shigeo Iijima Takeshi Murakoshi Keigo Nara Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report Surgical Case Reports Intestinal atresia In utero Intestinal volvulus Dilated bowel Torsion |
| title | Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report |
| title_full | Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report |
| title_fullStr | Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report |
| title_full_unstemmed | Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report |
| title_short | Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report |
| title_sort | intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia a case report |
| topic | Intestinal atresia In utero Intestinal volvulus Dilated bowel Torsion |
| url | https://doi.org/10.1186/s40792-023-01645-4 |
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