{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:24:43Z","timestamp":1786375483305,"version":"build-2736575974"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In utero intestinal volvulus with intestinal atresia is a rare and life-threatening condition that can cause torsion of the dilated bowel. The management and outcomes of this disease remain unclear.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 19-year-old woman noticed a decrease in fetal motion at 35\u00a0weeks. Fetal ultrasound showed dilated fetal bowel and the whirlpool sign. The patient was referred to our hospital for an emergency cesarean section. The neonate\u2019s abdomen was dark and severely distended, and a laparotomy was performed. Necrotic ileum and cord-type intestinal atresia (Type II) were observed in the dilated terminal ileum. The necrotic ileum was resected, and a second-look surgery was performed the following day. Then, we anastomosed the remaining intestine, and the total intestine length was 52\u00a0cm. There were no surgical complications, and the patient was discharged without requiring total parenteral nutrition or fluid infusion. The patient\u2019s height and weight were within the \u2212\u00a02 standard deviation range of the growth curve at 5\u00a0months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Emergency and appropriate management of intestinal volvulus in utero causing torsion of the dilated bowel resulted in good outcomes in a patient with intestinal atresia. Perinatal physicians should be aware of this emergency condition and plan their treatment approach accordingly.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-023-01645-4","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T10:03:30Z","timestamp":1682417010000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intestinal volvulus in utero causing torsion of dilated bowel with ileal atresia: a case report"],"prefix":"10.1186","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5171-5899","authenticated-orcid":false,"given":"Chiyoshi","family":"Toyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Segawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeo","family":"Iijima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Murakoshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keigo","family":"Nara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"1645_CR1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1055\/s-0033-1349367","volume":"3","author":"E Ohuoba","year":"2013","unstructured":"Ohuoba E, Fruhman G, Olutoye O, Zacharias N. Perinatal survival of a fetus with intestinal volvulus and intussusception: a case report and review of the literature. AJP Rep. 2013;3:107\u201312.","journal-title":"AJP Rep"},{"key":"1645_CR2","doi-asserted-by":"publisher","first-page":"4326","DOI":"10.21037\/qims-22-37","volume":"12","author":"J Chen","year":"2022","unstructured":"Chen J, Wu D. Prenatal diagnosis of fetal midgut volvulus: a case description. Quant Imaging Med Surg. 2022;12:4326\u201330.","journal-title":"Quant Imaging Med Surg"},{"key":"1645_CR3","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.pedneo.2021.01.008","volume":"62","author":"HB Shin","year":"2021","unstructured":"Shin HB, Kim JK, Jeong YJ. Torsion of proximal pouch in ileal atresia presenting as a large abdominal cyst. 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