Evidence map›Paper›PMID 37292252›Full record

ArticleJournal of pediatric surgery case reports2023

Fetal malrotation with midgut volvulus: Prenatal diagnosis and planning.

Oluyinka O Olutoye, J D Hammond, Jamie Gilley, Ross M Beckman, Marie Bulathsinghala, Sonya S Keswani, Jonathan Davies, Mark V Mazziotti, Roopali Donepudi, Michael A Belfort and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pediatric surgery case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Oluyinka O OlutoyeMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
J D HammondDivision of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Jamie GilleyDivision of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Ross M BeckmanMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Marie BulathsinghalaDivision of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Sonya S KeswaniMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Jonathan DaviesDivision of Neonatology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Mark V MazziottiMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Roopali DonepudiDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Michael A BelfortDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Alice KingMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Pamela M KetwarooEdward B. Singleton Department of Radiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Timothy C LeeMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · US

Funding

Research Training Program in Cardiovascular SurgeryT32HL139430 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI Todd K Rosengart · 2018 to 2026
$2.9M
NHLBI NIH HHS T32 HL139430
6 · The paper itself

Abstract

Introduction: Malrotation of the intestinal tract is a congenital malformation commonly found either incidentally or after affected individuals develop signs and symptoms of intestinal obstruction. Malrotation is prone to midgut volvulus that can cause intestinal obstruction and lead to ischemia and necrosis requiring emergent surgical intervention. Rare instances of Case presentation: This case report details an interesting presentation of intestinal malrotation with suspected midgut volvulus found on prenatal imaging at 33 weeks and 4 days' gestation. This prompted delivery of the infant at 34 weeks and 2 days' gestation with urgent operative management, within 3 hours of life, after diagnosis was confirmed postnatally. Intraoperatively, the infant was confirmed to have midgut volvulus without bowel ischemia, the intestines were reduced, and a Ladd procedure was performed without incident. The infant recovered postoperatively without complication, tolerated advancement to full volume feeds and was discharged on day of life 18. Conclusion: Successful management of fetal malrotation with midgut volvulus may be accomplished by early access to a multi-disciplinary team of professionals, prompt postnatal confirmation of diagnosis, and urgent correction to minimize the risk of complications.

Indexed as

MalrotationVolvulusWhirlpool sign

Identifiers

PMID37292252
PMCPMC10249907
OpenAlexW4367310467

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.