Molvarec Attila, Bábinszki Agota, Kovács Kálmán, Tóth Ferenc, Szalay János
Department of Obstetrics and Gynecology, Kútvolgyi Clinical Center, Semmelweis University Faculty of Medicine, Budapest, Hungary.
Fetal Diagn Ther. 2007;22(1):38-40. doi: 10.1159/000095841. Epub 2006 Sep 22.
Fetal midgut volvulus is quite rare, and few surviving infants--particularly cases with meconium peritonitis--have been reported in the literature. We report two cases of intrauterine intestinal obstruction due to fetal midgut volvulus associated with intestinal malrotation. In both cases, the infant survived after cesarean section delivery and appropriate surgical intervention, and they both continue to be in good overall condition. We discuss the prenatal signs and outcome of in utero intestinal volvulus. Close prenatal follow-up and appropriate timing of delivery in cases where ultrasound examination shows signs of fetal intestinal obstruction, as well as optimal postnatal treatment, are essential to reduce the morbidity and mortality associated with fetal midgut volvulus.
胎儿中肠扭转相当罕见，文献中报道的存活婴儿很少，尤其是伴有胎粪性腹膜炎的病例。我们报告两例因胎儿中肠扭转合并肠旋转不良导致的宫内肠梗阻病例。两例患儿均在剖宫产分娩及适当的手术干预后存活，目前总体状况良好。我们讨论了宫内肠扭转的产前体征及预后。对于超声检查显示胎儿肠梗阻迹象的病例，密切的产前随访、合适的分娩时机以及最佳的产后治疗对于降低胎儿中肠扭转相关的发病率和死亡率至关重要。
