Abstract
Fetal intestinal volvulus is a rare life-threatening condition with variable degrees of gravity and survival. In this article we are presenting a review of pathogenesis and current diagnosis of fetal volvulus, starting from the case of a preterm newborn with ascites who was incidentally diagnosed by ultrasound at the Emergency Department of Bucharest University Emergency Hospital, when a 35-week-pregnant patient arrived for uterine contractions and vaginal bleeding. The infant was born subsequently via urgent caesarean and underwent emergency exploratory laparotomy with small bowel resection. Late pregnancy manifestations of fetal pathologies contribute to a high rate of morbidity and mortality, and because of that we recommend that the third-trimester ultrasound performed between 32 and 34 weeks of amenorrhea should be routinely done, including a thorough assessment of all the organs, including the fetal bowel.
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