IMR Press / CEOG / Volume 46 / Issue 6 / DOI: 10.12891/ceog4878.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Fetal primary volvulus with abnormal heart rate patterns on cardiotocography
Show Less
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
*Correspondence: (T. MURATA)
Clin. Exp. Obstet. Gynecol. 2019, 46(6), 1003–1004;
Published: 10 December 2019

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.

Primary volvulus
Ultrasound sonography
Fetal heart rate pattern
Figure 1.
Back to top