Sudden Intrauterine Fetal Death Caused by Midgut Volvulus at Term: A Case Report
Background: Fetal midgut volvulus is a serious fi nding with a high risk of life-threatening fetal complications. Aim: To describe a sudden intrauterine fetal death caused by midgut volvulus at term. Methods: This is a case report of a 28-year-old G2P0 patient with no signi fi cant medical history. At 34 weeks of gestation, an ultrasound revealed a cystic formation in the right upper abdominal quadrant of the fetus. In the 38th week, abrupt fetal intestinal dilatation and the absence of bowel peristalsis in what had been a normally developing fetus prompted the decision to induce labor and perform an emergency caesarean section due to terminal bradycardia. Neonatal resuscitation was attempted but unsuccessful (Apgar score 0/0/0 at 1, 5, and 15 minutes). Conclusion: In this case, the true diagnosis of a fetal midgut volvulus and the cause of fetal death were con fi rmed by autopsy and a pathologist’s fi nding.