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CASE REPORT
Prenatal intestinal volvulus: look for cystic fibrosis
  1. Taieb Chouikh1,
  2. Nicolas Mottet2,
  3. Christelle Cabrol3,
  4. Yann Chaussy1
  1. 1Department of Chirurgie Pédiatrique, Centre Hospitalier Regional Universitaire de Besançon, Besançon, France
  2. 2Department of Gynécologie-Obstétrique, Centre Hospitalier Regional Universitaire de Besançon, Besançon, France
  3. 3Department of Génétique humaine, Centre Hospitalier Regional Universitaire de Besançon, Besançon, France
  1. Correspondence to Dr Yann Chaussy, yannchaussy{at}hotmail.com

Summary

Intestinal volvulus is a life-threatening emergency requiring prompt surgical management. Prenatal intestinal volvulus is rare, and most are secondary to intestinal atresia, mesenteric defect or without any underlying cause. Cystic fibrosis (CF) is known to cause digestive tract disorders. After birth, 10–15% of newborns with CF may develop intestinal obstruction within a few days of birth because of meconial ileus.1 This obstruction is a result of dehydrated thickened meconium obstructing the intestinal lumen. We report two cases of fetuses with prenatal diagnosis of segmental volvulus in whom CF was diagnosed.

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Footnotes

  • Contributors TC and YC have written about the surgeries performed. NM performed the prenatal evaluation and has written about the same. CC wrote about the genetic information.

  • Competing interests None declared.

  • Patient consent Obtained.

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