第9巻 2013年10月　第4号

■症例報告

胎児期に発症した小腸捻転症の1例
田村　俊之¹, 三浦　敦¹, 三宅　秀彦¹, 熊坂　栄², 島　義雄², 鈴木　俊治^1
1葛飾赤十字産院産婦人科
²葛飾赤十字産院小児科

A Case of Intrauterine Intestinal Volvulus
Toshiyuki Tamura¹, Atsusi Miura¹, Hidehiko Miyake¹, Sakae Kumasaka², Yoshio Shima² and Shunji Suzuki^1
1)Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital
²⁾Department of Pediatrics, Japanese Red Cross Katsushika Maternity Hospital

We report a case of intrauterine intestinal volvulus without malrotation in a fetus. A 31-year-old woman was admitted at 33 weeks 3 days' gestation because of decreased fetal movement and a nonreassuring fetal heart rate pattern on cardiotocography. A 1,948-g boy was delivered via emergency cesarean section. After birth, a small-bowel volvulus without malrotation was noted at laparotomy. In this case, the abnormal fetal heart rate pattern might have been caused by the decreased cardiac output associated with intestinal bleeding and distension due to small bowel volvulus.

日医大医会誌 2013; 9(4), 198-201

Key words
primary volvulus of small intestine, nonreassuring fetal status

Correspondence to
Toshiyuki Tamura, Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, 5-11-12 Tateishi, Katsushika-ku, Tokyo 124-0012, Japan
E-mail：t-toshiyuki@nms.ac.jp

受付：2012年3月18日　受理：2013年5月24日