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KMID : 0361720150260020134
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Korean Journal of perinatology
2015 Volume.26 No. 2 p.134 ~ p.138
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A Case of a Preterm Infant with Prenatally Diagnosed Intrauterine Midgut Volvulus
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Woo Hae-Kyung
Lee Hae-Yun
Kim Sae-Yun
Jung Young-Hwa
Shin Seung-Han
Kim Hyun-Young
Kim Ee-Kyung
Kim Han-Suk
Jun Jong-Kwan
Choi Jung-Hwan
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Abstract
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Intrauterine midgut volvulus is a rare and potentially life-threatening congenital disease that can lead to intestinal ischemia, sepsis and peritonitis caused by bowel perforation and meconium obstruction. Early detection and immediate treatment is crucial to improve the outcome. Herein, we report a preterm infant of 30 weeks of gestation with intrauterine midgut volvulus associated with meconium peritonitis who survived after cesarean delivery and immediate postnatal surgical intervention. The outcome of in-utero intestinal volvulus depends on optimal delivery timing and adequate postnatal treatment. Therefore, prompt multidisciplinary consultation and planning with obstetricians, neonatologists and pediatric surgeons is necessary to reduce the morbidity and mortality associated with fetal midgut volvulus, especially in the preterm period.
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KEYWORD
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Intrauterine midgut volvulus, Meconium peritonitis, Antenatal diagnosis, Preterm infant
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