Evidence map›Paper›PMID 39833046›Full record

ArticleMedicine2025

Prenatal diagnosis and treatment of fetal intestinal volvulus: A case report.

Xiaoyan Zeng, Xiang Li, Weinong Mo, Xuefen Zhu

Abstract readCase Reports
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Xiaoyan ZengDepartment of Neonatology, Hangzhou Women's Hospital, Hangzhou, Zhejiang, China.
Xiang LiDepartment of Pediatric Surgery, Hangzhou Children's Hospital, Hangzhou, Zhejiang, China.
Weinong MoDepartment of Neonatology, Hangzhou Women's Hospital, Hangzhou, Zhejiang, China.
Xuefen ZhuDepartment of Neonatology, Hangzhou Women's Hospital, Hangzhou, Zhejiang, China.ORCID 0009-0003-5120-293

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleFetal intestinal volvulus, a rare and severe disorder, poses significant diagnostic challenges prenatally and can lead to intrauterine death or adverse neonatal outcomes if untreated in a timely manner. This study reports a case of fetal intestinal volvulus confirmed postoperatively, providing insights into its clinical manifestations, diagnostic methods, and treatment outcomes, thereby enhancing understanding of this rare condition. PATIENT CONCERNS: A Chinese gravida 2, para 1 female presented at 32 weeks and 5 days of gestation with decreased fetal movements. Fetal ultrasound and MRI revealed small intestinal torsion and obstruction. Due to fetal distress, an emergency cesarean section was performed, followed by an urgent laparotomy on the neonate to untwist the intestinal volvulus and resect the necrotic bowel segment. DIAGNOSIS: Fetal intestinal volvulus.

interventionsFollowing an emergency cesarean section, the neonate was promptly transferred to the surgical department for immediate surgical intervention. The procedure encompassed detorsion of the intestinal volvulus and resection of the necrotic bowel segment. OUTCOMES: The infant exhibited a satisfactory postoperative recovery, successfully transitioned to complete oral and gastrointestinal nutrition, and demonstrated normal physical growth and cognitive development during the ensuing follow-up period. LESSONS: Fetal intestinal volvulus requires multidisciplinary collaboration for diagnosis and treatment. Early recognition, prompt delivery, and urgent surgical intervention are crucial for optimizing neonatal outcomes. By sharing this case, we hope to enhance the diagnostic and therapeutic capabilities of healthcare providers in managing this rare but severe condition.

Indexed as

Fetal DiseasesIntestinal VolvulusPrenatal DiagnosisAdultCesarean SectionFemaleHumansInfant, NewbornPregnancyUltrasonography, Prenatal

Identifiers

PMID39833046
PMCPMC11749602

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