Prenatal diagnosis of midgut volvulus by fetal MRI: a retrospective study
2024

Fetal MRI for Diagnosing Midgut Volvulus

Sample size: 156 publication Evidence: moderate

Author Information

Author(s): Kou Chenguang, Song Yanfang, Gao Duo, Zhou Lixia

Primary Institution: Second Hospital of Hebei Medical University

Hypothesis

Can fetal MRI effectively diagnose midgut volvulus in fetuses suspected of intestinal obstruction?

Conclusion

Prenatal MRI is crucial for diagnosing fetal midgut volvulus and its complications, aiding in postnatal treatment decisions.

Supporting Evidence

  • 32 out of 156 fetuses were diagnosed with midgut volvulus via MRI.
  • 18 cases confirmed midgut volvulus through surgical treatment.
  • Specific MRI signs included the 'black and white sign', 'whirlpool sign', and 'coffee bean sign'.
  • High signal intensity changes in diffusion-weighted imaging indicated ischemia.
  • Prenatal MRI findings correlated with surgical outcomes.

Takeaway

Doctors can use special pictures from MRI to see if a baby in the womb has a twisted intestine, which can help them plan for the baby's care after birth.

Methodology

Retrospective analysis of 156 fetuses suspected of intestinal obstruction, with MRI findings compared to surgical outcomes.

Limitations

The study is retrospective and may not account for all cases of midgut volvulus.

Participant Demographics

Fetuses suspected of intestinal obstruction, gestational age between 22-38 weeks.

Digital Object Identifier (DOI)

10.3389/fped.2024.1442866

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