Gastroschisis With Antenatal Evisceration of Intestines and Urinary Bladder

Congenital anterior abdominal wall defects in England and Wales 1987-93: retrospective analysis of OPCS data

“…Gastroschisis (fig 1) has been considered a rare malformation, in contrast with exomphalos (fig 2),6 although the incidence of gastroschisis has risen in the past two decades without a corresponding change in the number of neonates with exomphalos 7 8 9 10 11 12 13. We therefore investigated the epidemiology of congenital abdominal wall defects in England and Wales between 1987 and 1993, with special reference to the characteristics, incidences, and regional differences between gastroschisis and exomphalos.…”

Influence of Antenatal Ultrasound on the Management of Fetal Exomphalos

“…Exomphalos is a midline anterior abdominal wall defect characterized by herniation of viscera into a membranous sac [1]. It is the most common major congenital abnormality of the abdominal wall with an incidence of between 1/4,000 and 1/7,500 live births [2,3].…”

Pregastroschisis

“…The overlying skin defect is found at the midline plane between the two medial edges of the rectus abdominus and the abdominal musculature is entirely normal in gastroschisis also as was found in our patient (8). Associated hemt, urinary and the major systemic anomalies are rare while malrolation, malfixation, intestinal atresias can be seen in gastroschisis (4,5,6,8). Our patient had an ileal atresia, malrolation and malfixalion of bowel and volvulus.…”

“…May be for this reason; the embryology of gastroschisis had been explained by the help of many theories without strong embryologie obsen'ations (1, 3,5). In 1975, Shaw objected to these theories and claimed that gastroschisis, like omphalocele, is an anomaly of the umbilical ring and its coverings, with an in utero rupture of the membrane covering the hernia of the umbilical cord (7).…”

“…The confusion on concepts of abdominal wall defects was resolved and a cJear distinclion was completely made between omphalocele and gastroschisis by Moore and Stokes in 1953 (5). Recently little controversy exists on the terminology, diagnosis and treatment of umbilical anomalies (6).…”