Antepartum Diagnosis and Management of in Utero Intestinal Volvulus with Perforation

IN recent years ultrasonography has contributed substantially to the prenatal diagnosis of various congenital malformations1 2 3 and thus revolutionized management in obstetric patients. The present case report describes the antepartum diagnosis of fetal ascites secondary to fetal small-bowel volvulus with perforation. Decompression of the distended fetal abdomen was carried out in utero by paracentesis under ultrasonographic guidance. This facilitated vaginal delivery and eliminated potential neonatal distress.Case ReportA 24-year-old black primigravida with an uncomplicated antepartum course and a normal ultrasonogram at 25 weeks of gestation subsequently had a minimal increase in amniotic-fluid volume at 34 weeks. Laboratory data including plasma . . .