Case Report of a Neonate with Complex Gastroschisis: A Multidisciplinary Approach.

Autor: Balasundaram P; Division of Neonatology, Department of Pediatrics, Mercy Health-Javon Bea Hospital, Rockford, IL 61114, USA., Lautz TB; Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA., Gale R; Division of Neonatology, Department of Pediatrics, Mercy Health-Javon Bea Hospital, Rockford, IL 61114, USA., Remedios-Smith KG; Division of Neonatology, Department of Pediatrics, Mercy Health-Javon Bea Hospital, Rockford, IL 61114, USA.
Jazyk: angličtina
Zdroj: Pediatric reports [Pediatr Rep] 2024 Sep 09; Vol. 16 (3), pp. 779-785. Date of Electronic Publication: 2024 Sep 09.
DOI: 10.3390/pediatric16030065
Abstrakt: Gastroschisis is a congenital anomaly characterized by herniation of abdominal contents via a defect in the anterior abdominal wall. Gastroschisis can manifest as simple or complex, with additional complications such as atresia, perforation, ischemia, necrosis, or volvulus. While prenatal screening and advancements in surgical techniques have improved outcomes, infants with complex gastroschisis cases pose significant challenges in neonatal care. Vanishing gastroschisis, a rare but dreaded complication with a mortality rate ranging from 10 to 70%, occurs when the abdominal wall closes around the herniated bowel, leading to strangulation. We present a case report focusing on the management of neonatal gastroschisis in a 36-week-old female infant with vanishing gastroschisis. The infant's clinical course, including surgical interventions, complications, and multidisciplinary management, is discussed in detail. This case underscores the importance of a multidisciplinary approach in optimizing outcomes for infants with complex gastroschisis. Via this case report, we aim to provide insights into the complexities of neonatal gastroschisis management and advocate for a collaborative approach involving neonatology, pediatric surgery, infectious disease, and palliative care to improve outcomes and quality of life for affected infants.
Databáze: MEDLINE
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