Closed Gastroschisis: A Rare Abdominal Wall Defect. Issue 3 (March 2022)

• Record Type: Journal Article
• Authors: Cockrell, Hannah; Shaw, Taylor; Morris, Michael W.
• Is Part Of: American surgeon. Volume 88:Issue 3(2022)
• Page Start: 544
• Page End: 546
• Publication Date: 2022-03
• Subjects: gastroschisis -- abdominal wall defect -- pediatric surgery; Surgery -- Periodicals; Surgery -- United States -- Periodicals; 617.0973
• DOI: 10.1177/00031348211029875
• Languages: English
• ISSNs: 0003-1348

Abstract

Gastroschisis is a rare congenital abdominal wall defect characterized by intestinal evisceration to the right of the umbilical stalk. In less than 6% of cases, the fascial defect closes around the herniated viscera in utero. The mechanism of fascial closure in these cases is unknown; however, the tourniquet effect on the mesenteric vasculature is thought to lead to intestinal atresia and midgut infarction. We report a case of a female neonate with a prenatal diagnosis of gastroschisis who was found to have a closed defect at the time of delivery. She required emergent operation for symptoms of intestinal obstruction and bowel ischemia.