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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