Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Indian J Pediatr. 2010 Jan;77(1):103-4. doi: 10.1007/s12098-009-0252-5.
We report two cases of malrotation with extremely different outcomes based on the availability and non-availability of antenatal scanning. The first one had a single third trimester ultrasound which detected malrotation and helped in saving baby's life whereas the second baby without antenatal screening succumbed to midgut volvulus and its sequelae because of delayed presentation. In developing countries where most of the pregnancies may go unsupervised, a single third trimester scan for fetal anomalies by an experienced sonologist, in areas where routine antenatal screening program has failed or not feasible can help save the baby's life at least in surgically correctable anomalies. This may be an important strategy to reduce the infant mortality rate in the country.
我们报告了两例因产前扫描的可用性和不可用性而导致结果截然不同的肠旋转不良病例。第一个病例在孕晚期进行了一次超声检查，发现了肠旋转不良，这有助于挽救婴儿的生命；而第二个婴儿没有进行产前筛查，由于就诊延迟，出现了中肠扭转及其后遗症。在发展中国家，大多数妊娠可能得不到监管，在常规产前筛查计划失败或不可行的地区，由有经验的超声科医生进行一次孕晚期胎儿异常筛查，可以帮助挽救婴儿的生命，至少可以挽救那些可以通过手术矫正的异常。这可能是降低该国婴儿死亡率的一个重要策略。
