Volume 21 Issue 5
May  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 801-804
XIAO Xiuman, ZHU Libin, JIANG Na, PAN Yin, LIN Jinhan, WANG Rongyue, ZHU Jianghu, CHEN Shangqin. Clinical and ultrasonic characteristics and prognosis of neonatal intrauterine volvulus[J]. Chinese Journal of General Practice, 2023, 21(5): 801-804. doi: 10.16766/j.cnki.issn.1674-4152.002987
Citation: XIAO Xiuman, ZHU Libin, JIANG Na, PAN Yin, LIN Jinhan, WANG Rongyue, ZHU Jianghu, CHEN Shangqin. Clinical and ultrasonic characteristics and prognosis of neonatal intrauterine volvulus[J]. Chinese Journal of General Practice, 2023, 21(5): 801-804. doi: 10.16766/j.cnki.issn.1674-4152.002987
shu

Clinical and ultrasonic characteristics and prognosis of neonatal intrauterine volvulus

doi: 10.16766/j.cnki.issn.1674-4152.002987
  • 1.

    Department of Neonatology, Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, China

Funds:

 LGF21H040009

 Y2020075

  • Received Date: 2021-12-24
    Abstract
  •   Objective  To analyse the clinical characteristics and prognosis of children with intrauterine volvulus for reducing misdiagnosis and improving prognosis.  Methods  A retrospective review was conducted with intrauterine volvulus confirmed by postnatal operation in Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University from June 2015 to April 2020.  Results  Ten children (4 males and 6 females) were included in the study. Six of them were born through caesarean section and 4 were via vaginal delivery. Among the children, 6 were preterm infants (4 cases born for caesarean section due to foetal distress) and 4 were full-term infants. Of the 10 foetuses, 7 had intestinal dilatation, 2 showed typical "vortex sign", 3 had ascites, 4 had abdominal cystic mass and 2 had polyhydramnios, which was discovered by antenatal 2D ultrasound. 5 cases had abnormal foetal heart rate before delivery. Among all the cases, 10 had abdominal distension, 4 vomited bile-like material, 8 had no foetal discharge, 2 had bloody stool immediately after birth and 7 had anaemia. Of the 10 cases, 7 had abdominal puncture, 6 had uncoagulable blood and 1 had faecal turbid liquid. All the 10 cases were operated within 48 hours, 5 cases with segmental volvulus and 5 cases with midgut volvulus. Eight cases were recovered and discharged from hospital. One neonate died because of massive necrosis of small intestine, and one baby died due to secondary infection. The survival rate was 80% (8/10).  Conclusion  Foetal intrauterine volvulus should be considered when prenatal ultrasound showed typical "vortex" sign and intestinal dilatation with ascites or progressive enlargement of abdominal cystic mass. If prenatal ultrasound showed intestinal dilatation and the patient had gastrointestinal symptoms such as abdominal distension, vomiting bile-like material or bloody stool immediately after birth, accompanied by anaemia, then intrauterine volvulus should be highly suspected. If peritoneal puncture fluid was bloody, then a definite diagnosis could be made. The key to improve the survival rate was multidisciplinary cooperation, the right time for delivery, early operation and active perioperative treatment.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    NAGANO A, ONISHI S, TAZAKI Y, et al. Fetal intestinal volvulus without malrotation detected on prenatal ultrasound[J]. Pediatr Int, 2021, 63(7): 845-846. doi: 10.1111/ped.14550
    [2]
    NAZIHA K D, BEAUDOIS, MARION B, et al. Segmental volvulus in the neonate: a particular clinical entity[J]. J Pediatr Surg, 2017, 52(3): 454-457. doi: 10.1016/j.jpedsurg.2016.10.002
    [3]
    BEST E J, BRIEN C M, CARSELDINE W, et al. Fetal midgut volvulus with meconium peritonitis detected on prenatal ultrasound[J]. Case Rep Obstet Gynecol, 2018, 2018: 5312179. DOI: 10.1155/2018/5312179.
    [4]
    张晓红, 宋兵, 刘阿庆, 等. 四例胎儿肠扭转的产前超声诊断特点[J]. 中华围产医学杂志, 2020, 23(9): 594-599. doi: 10.3760/cma.j.cn113903-20200226-00162

    ZHANG X H, SONG B, LIU A Q, et al. Sonographic characteristics of fetal intestinal volvulus: report of four cases[J]. Chinese Journal of Perinatal Medicine, 2020, 23(9): 594-599. doi: 10.3760/cma.j.cn113903-20200226-00162
    [5]
    李雪蕾, 穆仲平, 黄婷, 等. 胎儿肠扭转及肠套叠的产前超声诊断及漏误诊分析[J]. 中华超声影像学杂志, 2019, 28(8): 696-699.

    LI X L, MU Z P, HUANG T, et al. Prenatal ultrasound diagnosis of fetal intestinal volvulus and intussusception and misdiagnosis analysis[J]. Chinese Journal of Ultrasonography, 2019, 28(8): 696-699.
    [6]
    SCIARRONE A, TERUZZI E, PERTUSIO A, et al. Fetal midgut volvulus: report of eight cases[J]. J Matern Fetal Neonatal Med, 2016, 29(8): 1322-1327. doi: 10.3109/14767058.2015.1047336
    [7]
    MUSILOVA I, ELIAS P, KACEROVSKY M. Second-trimester presentation of midgut volvulus without intestinal malrotation[J]. Ultrasound Obstet Gynecol, 2019, 54(3): 422-423. doi: 10.1002/uog.20239
    [8]
    BARTHOLMOT C, FAURE J M, GROSJEAN F, et al. Prenatal diagnosis of antenatal midgut volvulus: specific ultrasound features[J]. Prenat Diagn, 2019, 39(1): 16-25.
    [9]
    MISE N, TERUI K, MITSUNAGA T, et al. Delivery time of two cases of fetal intestinal volvulus[J]. Pediatr Int, 2022, 64(1): e15137. DOI: 10.1111/ped.15137.
    [10]
    MONARD B, MOTTET N, RAMANA R, et al. Prenatal diagnosis of a segmental small bowel volvulus with threatened premature labor[J]. Case Rep Obstet Gynecol, 2017, 2017: 7642784. DOI: 10.1155/2017/7642784.
    [11]
    YIP K W, CHENG Y K Y, LEUNG T Y. Antenatal diagnosis and management of foetal intestinal volvulus[J]. Med J Malays, 2017, 72(2): 126-127.
    [12]
    GULTEKIN N D, SALIHOGLU O, ALPTEKIN A, et al. Intrauterine volvulus that had been misunderstood as an antenatal mesenteric cyst[J]. Pediatr Neonatol, 2018, 60(4): 467-468.
    [13]
    RIDLEY A, CHAUSSY Y, MOTTET N, et al. Dual intestional anomalies in dizygotic twins[J]. BMJ Case Rep, 2018. DOI: 10.1136/bcr-2018-225176.
    [14]
    朱晓青, 李勇裴, 赵丽燕, 等. 孕晚期胎儿超声参数与不良妊娠结局的相关性及其预测价值[J]. 中华全科医学, 2019, 17(9): 1554-1556, 1608. doi: 10.16766/j.cnki.issn.1674-4152.000996

    ZHU X Q, LI Y P, ZHAO L Y, et al. Correlation between fetal ultrasound parameters and adverse pregnancy outcomes in late pregnancy and its predictive value[J]. Chinese Journal of General Practice, 2019, 17(9): 1554-1556, 1608. doi: 10.16766/j.cnki.issn.1674-4152.000996
    [15]
    SHEN A W, KOTHARI A, FLINT A, et al. Prenatal imaging features and perinatal outcomes of foetal volvulus: a literature review[J]. Prenat Diagn, 2022, 42(2): 192-200.
    [16]
    崔红梅, 吕玲, 李天刚, 等. 多学科联合诊治胎儿肠扭转两例[J]. 中华围产医学杂志, 2021, 24(9): 689-692.

    CUI H M, LV L, LI T G, et al. Multidisciplinary team working for diagnosis and treatment of fetal intestinal volvulus: report of two cases[J]. Chinese Journal of Perinatal Medicine, 2021, 24(9): 689-692.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (223) PDF downloads(9) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return