Antenatal diagnosis and management of fetal mid-gut volvulus

Fetal volvulus is an uncommon cause of bowel obstruction, which is rarely detected by an antenatal ultrasound scan. We report a case which presented with fetal stomach and small bowels dilatation at 33 weeks of gestation detected by ultrasonography. She was referred to our unit for safe delivery at 34th week of gestation following a spontaneous rupture of membranes and signs of fetal distress. Delivery was accomplished by Cesarean section. Postnatally, the infant was surgically explored with resection of ileum and end to end anastomosis because of bowel gangrene and volvulus. Ultrasound diagnosis during pregnancy with fetal bowels dilatation is an important tool and may lead to early diagnosis and optimal management of intestinal obstruction

Successful pregnancy following the removal of malignant endodermal sinus tumor and subsequent chemotherapy

Successful pregnancy in 29-year-old primigravid woman who presented in the department at the age of 16 year with ovarian, malignant, endodermal sinus [germ cell] tumor. She was operated on and a right salpingo-oophorectomy was performed. No evidence of local invasion or metastasis to the contra lateral ovary and the tumor had an intact capsule. Postoperatively, she was treated with three drugs combination chemotherapy [VAC]. Following her treatment there was no recurrences. Thirteen years later she became pregnant after two IVF cycles. We discuss in this report modern management of malignant germ cell tumors, their prognosis and the potential of subsequent resumption of reproductive function in these patients