Prenatal diagnosis of atypical gastroschisis.

Tannouri, Fadi; Avni, Efraim; Lingier, Pierre; Donner, Cathérine; Houben, Jean-Jacques; Struyven, Julien

doi:10.7863/jum.1998.17.3.177

Cited by 7 publications

(5 citation statements)

References 18 publications

(26 reference statements)

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“…In all these cases, however, the evisceration was diagnosed postnatally. The findings of bladder evisceration complicated by hydronephrosis, diagnosed prenatally using ultrasound in this case and that reported by Tannouri and co-workers 14 , reinforce the need for continual monitoring of the fetus after diagnosis.…”

Section: Discussionsupporting

confidence: 81%

Gastroschisis associated with bladder evisceration complicated by hydronephrosis presenting antenatally

Ikhena

Chazal

Konje

1999

Ultrasound in Obstet & Gyne

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We report here a case of gastroschisis associated with bladder evisceration and complicated by rapidly developing hydronephrosis diagnosed antenatally. The timing of delivery was determined by the hydronephrosis, associated bowel dilatation and polyhydramnios. The case highlights the need for continuing ultrasonographic surveillance of fetuses with gastroschisis to identify further associated complications which were hitherto absent but whose presence may influence the timing of delivery and neonatal care.

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Section: Discussionsupporting

confidence: 81%

Gastroschisis associated with bladder evisceration complicated by hydronephrosis presenting antenatally

Ikhena

Chazal

Konje

1999

Ultrasound in Obstet & Gyne

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“…We report a series of six cases with associated bladder herniation in an attempt to evaluate their outcome. A recent review of the literature identified only 13 published cases without specific notion of the individual outcome of these infants.…”

Section: Discussionmentioning

confidence: 99%

Secondary bladder herniation in isolated gastroschisis justifies increased surveillance

et al. 2012

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Objectives To assess the perinatal outcome of fetuses with gastroschisis complicated by secondary bladder herniation.Population and materials This was a retrospective study of all cases of isolated gastroschisis associated with bladder herniation managed at our institution. Prenatal ultrasound, obstetrical and perinatal information were collected. Pathology reports were also gathered. ResultsOut of 105 cases of gastroschisis managed at our institution, six (5.7%) were associated with secondary bladder herniation, two of them being diagnosed postnatally. Median gestational age at diagnosis of bladder herniation was 33.6 weeks (range 31-36) in five female and one male fetuses. Bladder herniation was associated with bowel dilatation in four cases (67%) and with pyelic dilatation in one case (17%). Despite increased surveillance, one male fetus died in utero. In four other cases, cesarean section was performed for fetal distress (three cases) or hyperechogenic bowels (one case). The five survivors had primary abdominal closure (n = 2) or staged repair (n = 3) with uneventful follow-up.Conclusion Bladder herniation was present in 6% of apparently isolated gastroschisis. There was one intrauterine fetal death and four other cases were delivered for fetal distress. Increased surveillance seems justified.

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“…The association of undescended testes and gastroschisis has been discussed and conservative management with later orchiopexy, if necessary, has been recommended45. The type of herniated organs may even complicate the immediate postnatal management, especially if the stomach is herniated with risk of aspiration46.…”

Section: Discussionmentioning

confidence: 99%