IMR Press / CEOG / Volume 46 / Issue 6 / DOI: 10.12891/ceog4878.2019
Open Access Case Report
Fetal primary volvulus with abnormal heart rate patterns on cardiotocography
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1 Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, Fukushima, Japan
2 Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan
3 Department of Pediatric Surgery, Fukushima Medical University Hospital, Fukushima, Japan
Clin. Exp. Obstet. Gynecol. 2019, 46(6), 1003–1004; https://doi.org/10.12891/ceog4878.2019
Published: 10 December 2019
Abstract

Fetal primary volvulus is a rare, life-threatening condition. The authors report a case of fetal primary volvulus which showed abnormal fetal heart rate (FHR) patterns on cardiotocography (CTG). A healthy, multiparous, 29-year-old woman was referred to the present facility due to fetal ascites. Ultrasound sonography (US) showed dilation of the fetal small bowel. CTG showed a non-reassuring FHR pattern and an emergency cesarian section was performed. A female newborn was delivered (1,515 grams, Apgar scores at one and five minutes: 5 and 7, respectively). Emergency laparotomy of the newborn showed necrotic volvulus without malrotation. The volvulus was resected, and a colostomy was performed. The infant was discharged three months after the operation without any complications.

Keywords
Primary volvulus
Ultrasound sonography
Fetal heart rate pattern
Figures
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