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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (6): 1003-1004    DOI: 10.12891/ceog4878.2019
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Fetal primary volvulus with abnormal heart rate patterns on cardiotocography
T. Murata1, *(), S. Suzuki1, H. Kyozuka1, M. Chishiki2, H. Tanaka3, K. Fujimori1
1Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, Fukushima, Japan
2Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan
3Department of Pediatric Surgery, Fukushima Medical University Hospital, Fukushima, Japan
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Abstract  

Fetal primary volvulus is a rare, life-threatening condition. The authors report a case of fetal primary volvulus which showed abnormal fetal heart rate (FHR) patterns on cardiotocography (CTG). A healthy, multiparous, 29-year-old woman was referred to the present facility due to fetal ascites. Ultrasound sonography (US) showed dilation of the fetal small bowel. CTG showed a non-reassuring FHR pattern and an emergency cesarian section was performed. A female newborn was delivered (1,515 grams, Apgar scores at one and five minutes: 5 and 7, respectively). Emergency laparotomy of the newborn showed necrotic volvulus without malrotation. The volvulus was resected, and a colostomy was performed. The infant was discharged three months after the operation without any complications.

Key words:  Primary volvulus      Ultrasound sonography      Fetal heart rate pattern     
Published:  10 December 2019     
*Corresponding Author(s):  T. MURATA     E-mail:  tuyoshim@fmu.ac.jp

Cite this article: 

T. Murata, S. Suzuki, H. Kyozuka, M. Chishiki, H. Tanaka, K. Fujimori. Fetal primary volvulus with abnormal heart rate patterns on cardiotocography. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1003-1004.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4878.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I6/1003

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