{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:47:49Z","timestamp":1774478869857,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,4,23]]},"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>Midgut volvulus complicating congenital malrotation is a rare but life-threatening condition that can occur in pregnancy. We present a case of intestinal infarction resulting from midgut volvulus in a healthy 32-week pregnant woman who underwent emergency laparotomy and small bowel resection in the setting of fetal death in utero. This case highlights several challenging issues in diagnosing and managing this uncommon condition which leads to increased adverse perinatal outcomes. Prompt investigation and definitive surgical treatment are required when pregnant women present with bilious vomiting and new-onset abdominal or back pain especially beyond the first trimester.<\/jats:p>","DOI":"10.1136\/bcr-2020-234664","type":"journal-article","created":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T05:37:22Z","timestamp":1589521042000},"page":"e234664","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Midgut volvulus secondary to congenital malrotation in pregnancy"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9374-4137","authenticated-orcid":false,"given":"Eelyn","family":"Chong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, The Northern Hospital, Epping, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Northern Hospital, Epping, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishnupriya","family":"Rajagopal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, The Northern Hospital, Epping, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Strugnell","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Northern Hospital, Epping, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,5,14]]},"reference":[{"key":"2025082711024552000_13.5.e234664.1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00404-006-0262-8","article-title":"Small bowel obstruction in pregnancy","volume":"275","author":"Redlich","year":"2007","journal-title":"Arch Gynecol Obstet"},{"key":"2025082711024552000_13.5.e234664.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80910-9"},{"key":"2025082711024552000_13.5.e234664.3","doi-asserted-by":"crossref","first-page":"S98","DOI":"10.4097\/kjae.2014.67.S.S98","article-title":"Midgut volvulus as a complication of intestinal malrotation in a term pregnancy","volume":"67","author":"Hwang","year":"2014","journal-title":"Korean J Anesthesiol"},{"key":"2025082711024552000_13.5.e234664.4","doi-asserted-by":"crossref","DOI":"10.14309\/crj.2017.9","article-title":"Midgut volvulus as a complication of intestinal malrotation in pregnancy","volume":"4","author":"Gi\u00e3o Antunes","year":"2017","journal-title":"ACG Case Rep J"},{"key":"2025082711024552000_13.5.e234664.5","first-page":"4538","article-title":"Small bowel volvulus in mid and late pregnancy: can early diagnosis be established to avoid catastrophic outcomes?","volume":"7","author":"Cong","year":"2014","journal-title":"Int J Clin Exp Med"},{"key":"2025082711024552000_13.5.e234664.6","first-page":"34","article-title":"Volvulus of the small bowel due to malrotation during pregnancy: a Case-Report","volume":"1","author":"Constanthin","year":"2017","journal-title":"J Dig Dis Diagnos"},{"key":"2025082711024552000_13.5.e234664.7","first-page":"51","article-title":"Small bowel volvulus in a primigravida woman: case report","volume":"1","author":"Mahdavi","year":"2001","journal-title":"J Fam Reprod Health"},{"key":"2025082711024552000_13.5.e234664.8","first-page":"360","article-title":"MRI whirpool sign in midgut volvulus with malrotation in pregnancy","volume":"96","author":"Kouki","year":"2013","journal-title":"JBR-BTR"},{"key":"2025082711024552000_13.5.e234664.9","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002355"},{"key":"2025082711024552000_13.5.e234664.10","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1308\/003588415X14181254789844","article-title":"Small bowel obstruction in pregnancy is a complex surgical problem with a high risk of fetal loss","volume":"97","author":"Webster","year":"2015","journal-title":"Ann R Coll Surg Engl"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-234664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:02:52Z","timestamp":1756317772000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-234664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,14]]},"published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1136\/bcr-2020-234664"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-234664","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}