Prenatal diagnosis of closed gastroschisis: What to expect in the most severe form of gastroschisis? Case report and literature review

Closed gastroschisis (CG) and vanishing gastroschisis (VG) are the most severe forms of evolution of the malformation. In this case, a fetus presented with gastroschisis at 13 weeks, and the gastroschisis was not visualized at 22 weeks of gestation. Distal ileum, cecum, and ascending colon atresia w...

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Bibliographic Details
Published in:Journal of clinical ultrasound 2023-10, Vol.51 (8), p.1356-1363
Main Authors: Castro, Pedro Teixeira, Matos, Ana Paula Pinho, Macedo, Nicanor, Ribeiro, Gerson, Lopes, Jorge, Dittmer, Fernanda Parciasepe, Araujo Júnior, Edward, Werner, Heron
Format: Article
Language:English
Subjects:
Case reports
Cecum
Complications
Diagnosis
Enteral feeding
Enteral nutrition
Fetuses
Gestation
Ileum
Literature reviews
Prenatal diagnosis
Ultrasonic imaging
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Summary:Closed gastroschisis (CG) and vanishing gastroschisis (VG) are the most severe forms of evolution of the malformation. In this case, a fetus presented with gastroschisis at 13 weeks, and the gastroschisis was not visualized at 22 weeks of gestation. Distal ileum, cecum, and ascending colon atresia were diagnosed at surgery, and the child is fully enteral‐fed at 5 months of age. In a literature review of 43 cases of prenatal diagnosis of CS‐VG, intrauterine death occurred in 4.5% of cases. 79.6% of the cases underwent surgical treatment. Of these cases, 20% of cases died due to complications of treatment, 26% were still under treatment and 54% are alive with enteral feeding. In 77% of the cases, the closure of the umbilical ring occurred after 26 weeks of gestation and the absence of prenatal diagnosis of CG‐VG during pregnancy has a risk of 71% of death.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.23543