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Case report
Midgut volvulus secondary to congenital malrotation in pregnancy
  1. Eelyn Chong1,
  2. David S Liu2,
  3. Vishnupriya Rajagopal1 and
  4. Neil Strugnell2
  1. 1Department of Obstetrics and Gynaecology, The Northern Hospital, Epping, Victoria, Australia
  2. 2Department of General Surgery, The Northern Hospital, Epping, Victoria, Australia
  1. Correspondence to Dr Eelyn Chong; elchong89{at}


Midgut volvulus complicating congenital malrotation is a rare but life-threatening condition that can occur in pregnancy. We present a case of intestinal infarction resulting from midgut volvulus in a healthy 32-week pregnant woman who underwent emergency laparotomy and small bowel resection in the setting of fetal death in utero. This case highlights several challenging issues in diagnosing and managing this uncommon condition which leads to increased adverse perinatal outcomes. Prompt investigation and definitive surgical treatment are required when pregnant women present with bilious vomiting and new-onset abdominal or back pain especially beyond the first trimester.

  • pregnancy
  • gastrointestinal surgery

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  • Contributors EC: gathered data and prepared the manuscript. DSL: made critical revisions to the manuscript. NS and VR: responsible for the overall supervision of the project.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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