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Volvulus
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Closed-loop obstruction caused by bowel twisting on its mesentery
                  • Causes high-grade obstruction and vascular compromise

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Huang L et al: Antenatal predictors of intestinal pathologies in fetal bowel dilatation. J Paediatr Child Health. 56(7):1097-100, 2020
                                      2. Bartholmot C et al: Prenatal diagnosis of antenatal midgut volvulus: specific ultrasound features. Prenat Diagn. 39(1):16-25, 2019
                                      3. Best EJ et al: Fetal midgut volvulus with meconium peritonitis detected on prenatal ultrasound. Case Rep Obstet Gynecol. 2018:5312179, 2018
                                      4. Batra A et al: Epidemiology, management and outcome of ultrashort bowel syndrome in infancy. Arch Dis Child Fetal Neonatal Ed. 102(6):F551-6, 2017
                                      5. Sciarrone A et al: Fetal midgut volvulus: report of eight cases. J Matern Fetal Neonatal Med. 29(8):1322-7, 2016
                                      6. Kaba M et al: Fetal midgut volvulus with a cystic appearance, accompanying a sinus rhythm and an increased peak systolic velocity without anemia. Case Rep Obstet Gynecol. 2015:354619, 2015
                                      7. Keskin U et al: Prenatal diagnosis of the acute meconium peritonitis secondary to ileum volvulus perforation: a case report. Fetal Pediatr Pathol. 34(1):9-13, 2015
                                      8. Nakagawa T et al: A case of fetal intestinal volvulus without malrotation causing severe anemia. Jpn Clin Med. 6:1-3, 2015
                                      9. Jakhere SG et al: Fetal small bowel volvulus without malrotation: the whirlpool & coffee bean signs. J Neonatal Perinatal Med. 7(2):143-6, 2014
                                      10. Ohuoba E et al: Perinatal survival of a fetus with intestinal volvulus and intussusception: a case report and review of the literature. AJP Rep. 3(2):107-12, 2013
                                      11. Steffensen TS et al: Midgut volvulus causing fetal demise in utero. Fetal Pediatr Pathol. 27(4-5):223-31, 2008
                                      12. Molvarec A et al: Intrauterine intestinal obstruction due to fetal midgut volvulus: a report of two cases. Fetal Diagn Ther. 22(1):38-40, 2007
                                      13. Allahdin S et al: Ischaemic haemorrhagic necrosis of the intestine secondary to volvulus of the midgut: a silent cause of intrauterine death. J Obstet Gynaecol. 24(3):310, 2004
                                      14. Jequier S et al: Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis. Pediatr Radiol. 33(4):263-5, 2003
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Closed-loop obstruction caused by bowel twisting on its mesentery
                                                      • Causes high-grade obstruction and vascular compromise

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Huang L et al: Antenatal predictors of intestinal pathologies in fetal bowel dilatation. J Paediatr Child Health. 56(7):1097-100, 2020
                                                                          2. Bartholmot C et al: Prenatal diagnosis of antenatal midgut volvulus: specific ultrasound features. Prenat Diagn. 39(1):16-25, 2019
                                                                          3. Best EJ et al: Fetal midgut volvulus with meconium peritonitis detected on prenatal ultrasound. Case Rep Obstet Gynecol. 2018:5312179, 2018
                                                                          4. Batra A et al: Epidemiology, management and outcome of ultrashort bowel syndrome in infancy. Arch Dis Child Fetal Neonatal Ed. 102(6):F551-6, 2017
                                                                          5. Sciarrone A et al: Fetal midgut volvulus: report of eight cases. J Matern Fetal Neonatal Med. 29(8):1322-7, 2016
                                                                          6. Kaba M et al: Fetal midgut volvulus with a cystic appearance, accompanying a sinus rhythm and an increased peak systolic velocity without anemia. Case Rep Obstet Gynecol. 2015:354619, 2015
                                                                          7. Keskin U et al: Prenatal diagnosis of the acute meconium peritonitis secondary to ileum volvulus perforation: a case report. Fetal Pediatr Pathol. 34(1):9-13, 2015
                                                                          8. Nakagawa T et al: A case of fetal intestinal volvulus without malrotation causing severe anemia. Jpn Clin Med. 6:1-3, 2015
                                                                          9. Jakhere SG et al: Fetal small bowel volvulus without malrotation: the whirlpool & coffee bean signs. J Neonatal Perinatal Med. 7(2):143-6, 2014
                                                                          10. Ohuoba E et al: Perinatal survival of a fetus with intestinal volvulus and intussusception: a case report and review of the literature. AJP Rep. 3(2):107-12, 2013
                                                                          11. Steffensen TS et al: Midgut volvulus causing fetal demise in utero. Fetal Pediatr Pathol. 27(4-5):223-31, 2008
                                                                          12. Molvarec A et al: Intrauterine intestinal obstruction due to fetal midgut volvulus: a report of two cases. Fetal Diagn Ther. 22(1):38-40, 2007
                                                                          13. Allahdin S et al: Ischaemic haemorrhagic necrosis of the intestine secondary to volvulus of the midgut: a silent cause of intrauterine death. J Obstet Gynaecol. 24(3):310, 2004
                                                                          14. Jequier S et al: Antenatal small-bowel volvulus without malrotation: ultrasound demonstration and discussion of pathogenesis. Pediatr Radiol. 33(4):263-5, 2003