Evidence map›Paper›PMID 37510904›Full record

ReviewJournal of clinical medicine2023

Antenatal Diagnosis and Management of Fetal Intestinal Volvulus: Case Series and Literature Review.

Ramona Montironi, Valentina Tosto, Dayana Quintili, Daniele Crescenzi, Giovanna Irene Battistoni, Giovanni Cobellis, Stefano Raffaele Giannubilo, Andrea Ciavattini

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Ramona MontironiClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Valentina TostoObstetrics and Gynecology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genova, Italy.ORCID 0000-0001-6228-3390
Dayana QuintiliClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Daniele CrescenziClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Giovanna Irene BattistoniClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Giovanni CobellisClinical Sciences Department, Pediatric Surgery Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Stefano Raffaele GiannubiloClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.ORCID 0000-0002-9427-1391
Andrea CiavattiniClinical Sciences Department, Obstetrics and Gynecology Section, Università Politecnica delle Marche, Via Filippo Corridoni 11, 60123 Ancona, Italy.
Marche Polytechnic University · ITIstituto Giannina Gaslini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fetal intestinal volvulus is a rare condition that can lead to hemorrhage, bowel necrosis, and urgent surgical treatment after birth. Thus, prompt diagnosis and treatment are essential to avoiding fetal or neonatal demise. Prenatal ultrasound is a keystone tool in the diagnostic course. However, sonographic findings tend to be non-specific, with limited understanding of the pathophysiology behind their atypical presentation. With a literature review and a case series, we aim to optimize the antenatal diagnosis and management of this rare but life-threatening condition. Six cases from our institution were retrospectively analyzed over 12 years. A literature review was conducted until December 2022. A total of 300 articles matched the keyword "Fetal volvulus", and 52 studies were eligible for the review. Our 6 cases are added to the 107 cases reported in the literature of fetal intestinal volvulus with antenatal ultrasound assessment and without associated gastroschisis or omphalocele. Several prenatal symptoms and ultrasound markers, even if not specific, were more frequently reported. Different experiences of management were described regarding follow-up, the timing of delivery, the mode of delivery, and surgery outcomes. This paper highlights the importance of suspecting and assessing fetal volvulus at routine ultrasound scans, describing the most frequent antenatal presentations and management in order to improve fetal and neonatal outcomes.

Indexed as

fetalintestinal volvulusobstetric ultrasoundprenatal diagnosis

Identifiers

PMID37510904
PMCPMC10381374
OpenAlexW4384929582

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.