medigraphic.com

2004, Number 3

<< Back Next >>

Cir Cir 2004; 72 (3)

Intrauterine necrosis in closed gastroschisis

Baeza-Herrera C, Sanjuan-Fabián H, Ortiz-Zúñiga AI, García-Cabello LM, Nájera-Garduño HM, Sánchez-Martínez HF

Language: Spanish
References: 12
Page: 221-224
PDF size: 457.64 Kb.


ABSTRACT

Introduction: Strangulation of the intestine as the result of compression of its blood supply in a tightly closed gastroschisis defect is a very rare occurrence. Clinical cases: We present the cases of two newborn patients who had extra-abdominal infarcted bowel and intra-abdominal jejunal atresia due to vascular compression for gastroschisis defect. One was associated with colonic, probably acquired aganglionosis. Both had similar clinical courses. Conclusions: This association is very uncommon. Prognosis of this complex is very poor.


REFERENCES

  1. Louw JH, Barnard CN. Congenital intestinal atresia: observations on its origin. Lancet 1955;2:1065-1067.

  2. Vassy LE, Boles TE. Iatrogenic ileal atresia secondary to clamping of an occult omphalocele. J Pediatr Surg 1975;10:797-800.

  3. Baeza CH. Patología quirúrgica neonatal. México: Masson-Salvat; 1995. p. 115.

  4. Langer JC. Gastroschisis and omphalocele. Semin Pediatr Surg 1996;5:124-128.

  5. Davenport M, Haugen S, Greenough A, Nicolaides K. Closed gastroschisis: antenatal and postnatal features. J Pediatr Surg 2001;36:1834-1837.

  6. Kiesewetter WB. Gastroschisis: report of a case. Arch Surg 1957;75: 28-30.

  7. Grosfeld LJ, Clatworthy WH. Intrauterine midgut strangulation in a gastroschisis. Surgery 1970;67:519-521.

  8. Hertzberg AL, Gauderer WL. Paraumbilical intestinal remnant, closed abdominal wall, and midgut loss in a neonate. J Pediatr Surg 1996;31:862-863.

  9. Sadler TW. Embriología médica de Langman. Buenos Aires, Argentina: Panamericana; 2002. pp. 280-283.

  10. Bathia MA, Musemeche AC, Crino PJ. Gastroschisis complicated by midgut atresia and closure of the defect in utero. J Pediatr Surg 1996;31:1288-1289.

  11. McMahon JM, Kuller AJ, Chescheir CN. Prenatal ultrasonographic findings associated with short bowel syndrome in two fetuses with gastrochisis. Obstet Gynecol 1996;88:676-678.

  12. Touloukian JR, Duncan R. Acquired aganglionic megacolon in a premature infant: report a case. Pediatrics 1975;56:459-462.




2020     |     www.medigraphic.com