A proposed classification for the spectrum of vanishing gastroschisis

Eur J Pediatr Surg. 2013 Feb;23(1):72-5. doi: 10.1055/s-0032-1330841. Epub 2012 Nov 21.

Abstract

Infants born with gastroschisis in association with intestinal atresia are well described. We are the proposing the classification of vanishing gastroschisis. In this series of six cases, at one end of the spectrum is an infant having gastroschisis with a much narrower defect on the right side of umbilicus. The ischemic bowel loops were connected to bowel inside the abdomen by a fibrous band compressing the exposed bowel mesentery. On the other end of spectrum, an infant having extensive bowel atresia and complete closure of abdominal wall defect (gastroschisis) detected on antenatal ultrasound. These cases should raise awareness of this devastating complication in prenatal management of gastroschisis.

Publication types

  • Case Reports
  • Multicenter Study

MeSH terms

  • Colon / abnormalities*
  • Colon / surgery
  • Fatal Outcome
  • Female
  • Gastroschisis / classification*
  • Gastroschisis / complications
  • Gastroschisis / diagnosis
  • Humans
  • Infant, Newborn
  • Intestinal Atresia / complications*
  • Intestinal Atresia / diagnosis
  • Intestine, Small / abnormalities*
  • Intestine, Small / surgery
  • Male