Midgut Volvulus Clinical Trial
Official title:
Prenatal Diagnosis of Antenatal Midgut Volvulus: Specific Ultrasound Features
Objective:
The small bowel volvulus is a rare cause of intestinal obstruction which may occur in utero
and whose prenatal diagnosis is difficult.Sonographic signs are mainly indirect and non
specific.The aim of this study is to present a retrospective analysis of prenatal
sonographicfindings in fetal segmental midgut volvulus.Thanks to this series the
investigators could highlight the more specifics signs of the volvulus included a new
pattern.
Objective:
The small bowel volvulus is a rare cause of intestinal obstruction which may occur in utero
and whose prenatal diagnosis is difficult. Sonographic signs are mainly indirect and
nonspecific. The aim of this study is to present a retrospective analysis of prenatal
sonographic findings in fetal segmental midgut volvulus. Thanks to this series the
investigators could highlight the more specifics signs of the volvulus included a new
pattern.
Methods:
Unicentric retrospective analysis of cases of prenatal midgut volvulus between 2006 and 2017.
The primary inclusion criteria was postnatal diagnosis of prenatal volvulus based on
post-natal findings and prenatal imaging findings. The exclusion criteria was the absence of
prenatal imaging assessment. The investigators collected the clinical history and the
echographic mode B and color Doppler. They have searched for some specific sign like "
whirlpool sign " representing the winding of the mesenteric vein around the superior
mesenteric arterywith color Doppler with arciform pattern of the midgut, hydro-meconium level
in the dilated loops and position of mesenteric vessels for evaluation of the intestinal
(mal) rotation. Gold standard was surgery or foetopathology if performed.
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Status | Clinical Trial | Phase | |
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Recruiting |
NCT06072976 -
The Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies
|
N/A |