Multidisciplinary team working for diagnosis and treatment of fetal intestinal volvulus: report of two cases
10.3760/cma.j.cn113903-20201116-01118
- VernacularTitle:多学科联合诊治胎儿肠扭转两例
- Author:
Hongmei CUI
1
;
Lyv LING
;
Tiangang LI
;
Zhicheng YUE
;
Jingyun SHI
;
Qi GU
;
Hanbo TANG
Author Information
1. 甘肃省妇幼保健院产科，兰州 730050
- Keywords:
Intestinal volvulus;
Fetal diseases;
Ultrasonography
- From:
Chinese Journal of Perinatal Medicine
2021;24(9):689-692
- CountryChina
- Language:Chinese
-
Abstract:
We report the diagnosis and treatment of two cases of fetal intestinal volvulus. Case 1 presented to Gansu Provincial Maternity and Child-care Hospital due to reduced fetal movements at 33 +4 weeks of gestation. Case 2 was referred to our hospital from a local hospital because of fetal bowel dilatation by ultrasound at 32 +5 weeks. Both cases were found to have fetal bowel dilatation with typical "whirlpool" or "coffee bean" signs on ultrasound after admission. After multidisciplinary consultation and discussion, an emergency cesarean section was performed, during which the two neonates underwent surgical operation and resection of necrotic bowel loops after confirming the diagnosis of volvulus and intestinal necrosis. Case 2 suffered from pulmonary artery thrombosis after the bowel surgery, and underwent pulmonary artery incision and embolectomy within 24 hours. Both newborns recovered well after the operation, whose growth parameters and nervous system development was normal for follow-up.
