Whirl Pattern Complex Gastroschisis
Publish place: The Iranian Journal of Neonatology، Vol: 15، Issue: 3
Publish Year: 1403
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_IRJN-15-3_009
تاریخ نمایه سازی: 16 تیر 1403
Abstract:
Background: Complex gastroschisis is a rare variant characterized by intrauterine closure of the abdominal defect, which can be accompanied by atresia, necrosis, and, in most cases, lead to short bowel syndrome. This is the first case of gastroschisis presenting as a whirl pattern of loops and raises suspicion of intestinal ischemia and atresia. Case Report: A newborn at ۳۸ weeks of gestation with a prenatal diagnosis of complex gastroschisis presented with a whirl pattern of gastroschisis and jejunal atresia. The newborn was treated with staged closure of the defect and underwent a second surgical procedure for correction of jejunal atresia, with a successful outcome observed during ۲ years of follow-up. Conclusion: Whirl pattern gastroschisis is a rare presentation of complex gastroschisis, and its diagnosis can be made prenatally, allowing for the preparation of medical and surgical management at birth. It is necessary to actively search for the presence of intestinal atresia or ischemia in this type of presentation.
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Authors
Andrés Felipe Rubio Duarte
Hospital Internacional de Colombia, Colombia
Mónica Beltrán-Avendaño
Obstetrician-gynecologist, Maternal-Fetal Medicin specialist, Faculty of Health Sciences, Universidad Autónoma de Bucaramanga, Colombia
Daniella Chacón-Valenzuela
Pediatric surgeon, Faculty of Health Sciences, Universidad Industrial de Santander, Colombia
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