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Am J Perinatol 2001; 18(8): 447-450
DOI: 10.1055/s-2001-18794
ORIGINAL ARTICLES

Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Prenatal Diagnosis of Midgut Volvulus by Sonography and Magnetic Resonance Imaging

Kei Miyakoshi, Hitoshi Ishimoto, Shinji Tanigaki, Kazuhiro Minegishi, Mamoru Tanaka, Toyohiko Miyazaki, Yasunori Yoshimura
  • Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
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Publication History

Publication Date:
04 December 2001 (online)

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ABSTRACT

We present a case of congenital midgut volvulus detected by prenatal sonography and ultrafast magnetic resonance (MR) imaging. At 34 weeks of gestation, enlarged hyperechogenic loops without peristalsis was identified by sonographic examination. On ultrafast T2-weighted single-shot fast-spin echo MR imaging, enlarged loops exhibited a lower signal intensity than the surrounding bowel loops, suggesting intraluminal hemorrhage. At explorative laparotomy following delivery, midgut volvulus causing hemorrhagic necrosis was found. Combined use of sonography and ultrafast MR imaging is useful to identify fetal midgut volvulus with hemorrhagic change.

KEYWORD

Fetal midgut volvulus - ultrafast magnetic resonance imaging - hemorrhagic necrosis

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