Journal of the Bahrain Medical Society

Year 2020, Volume 32, Issue 3, Pages 40-44

https://doi.org/10.26715/jbms.32_2020_3_7

Case Report

Fetal Midgut Volvulus Masquerading as Abdominal Massin Utero: A Case Report and Review of Literature

Lateefa Almutawea1*, Jemila James2, Martin Corbally3, Arjun Dey4

Author Affiliation

1Pediatric Resident, Pediatrics and Neonatology Department, King Hamad University Hospital, Bahrain.

2Pediatric Registrar, Pediatrics and Neonatology Department, King Hamad University Hospital, Bahrain.

3Chief of medical staff/Consultant Pediatric Surgeon/Professor and Chairman, Department of Surgery, King Hamad University Hospital and Royal College of Surgeons in Ireland -Medical University of Bahrain.

4Neonatology Consultant, Pediatrics and Neonatology Department, King Hamad University Hospital, Bahrain, Email: acdey70@gmail.com; Mobile: 35948274.

 

*Corresponding Author:

Dr Lateefa Almutawea, Pediatric Resident, Pediatrics and Neonatology Department, King Hamad University Hospital, Bahrain, Email: latifa.almutawea@gmail.com; Tel. No.: (+973)-36306290.

Received date: May 13, 2020; Accepted date: September 10, 2020; Published date: September 30, 2020


Abstract

Fetal volvulus without malrotation is a very rare neonatal surgical emergency. However, there is no reliable data on the incidence of fetal volvulus without malrotation. Fetal volvulus has variable degrees of presentation and survival rate of the fetus. Delay in diagnosis and timely intervention lead to increase in morbidity and mortality rates.

We report the case of a preterm neonate who was born at 30 weeks of gestation and was noted to have an intra-abdominal mass in utero. Intraoperatively, it turned out to be segmental midgut volvulus without malrotation.

Keywords: Fetal intestinal volvulus; Fetal midgut volvulus; Intrauterine volvulus; Prenatal diagnosis; Congenital midgut volvulus