Studija slučaja
Sudden Intrauterine Fetal Death Caused by Midgut Volvulus at Term: A Case Report
Dino Pavoković
; Department of Gynecology and Obstetrics, General Hospital Virovitica, Croatia
Tvrtko Tupek
; Department of Gynecology and Obstetrics, Sveti Duh, University Hospital Zagreb, Croatia
Anis Cerovac
orcid.org/0000-0002-7209-382X
; Department of Gynecology and Obstetrics, General Hospital Tešanj Bosnia and Herzegovina
Dubravko Habek
orcid.org/0000-0002-7675-7064
; Department of Gynecology and Obstetrics, Merkur University Hospital
*
Mislav Mikuš
; Department of Gynecology and Obstetrics University Hospital Centre Zagreb., Croatia
Vedrana Petrovečki
; Department of Forensic Medicine and Criminology, School of Medicine University of Zagreb, Zagreb, Croatia
* Dopisni autor.
Sažetak
Background: Fetal midgut volvulus is a serious fi nding with a high risk of life-threatening fetal complications. Aim: To describe a sudden intrauterine fetal death caused by midgut volvulus at term. Methods: This is a case report of a 28-year-old G2P0 patient with no signifi cant medical history. At 34 weeks of gestation, an ultrasound revealed a cystic formation in the right upper abdominal quadrant of the fetus. In the 38th week, abrupt fetal intestinal dilatation and the absence of bowel peristalsis in what had been a normally developing fetus prompted the decision to induce labor and perform an emergency caesarean section due to terminal bradycardia. Neonatal resuscitation was attempted but unsuccessful (Apgar score 0/0/0 at 1, 5, and 15 minutes). Conclusion: In this case, the true diagnosis of a fetal midgut volvulus and the cause of fetal death were confi rmed by autopsy and a pathologist’s fi nding.
Ključne riječi
midgut volvulus; prenatal diagnosis; stillbirth; autopsy
Hrčak ID:
334383
URI
Datum izdavanja:
2.12.2024.
Posjeta: 349 *