Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review
Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an is...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/8542087 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550412042895360 |
|---|---|
| author | Elise Abi Rached N. Sananes I. Kauffmann-Chevalier F. Becmeur |
| author_facet | Elise Abi Rached N. Sananes I. Kauffmann-Chevalier F. Becmeur |
| author_sort | Elise Abi Rached |
| collection | DOAJ |
| description | Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation. The ultrasound evolution was marked by a progressive closure of the abdominal wall defect from 19-week gestation and the appearance of dilated intra-abdominal loops. The child was born with a closed abdominal wall except a small remnant at the level of the former gastroschisis orifice. Explorative laparotomy revealed extensive midgut atresia with only 50 cm of remaining midgut. A jejunocolic anastomosis was performed. The child is now 3 years old and has a favorable outcome with only 2 nights a week of parenteral nutrition. A total of 39 cases of VG type D from Perrone et al. classification are described in the literature from 1991 to 2019, among which 19 (48.7%) are alive at the time of publication but only 4 cases are described with a long-term follow-up of 3 years or more. This is the fifth case described with a favorable evolution after 3-year follow-up. |
| format | Article |
| id | doaj-art-41b8bc54c2444dd19aab0f286887805d |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-41b8bc54c2444dd19aab0f286887805d2025-02-03T06:06:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/85420878542087Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature ReviewElise Abi Rached0N. Sananes1I. Kauffmann-Chevalier2F. Becmeur3Department of Gynaecology & Obstetrics, Hautepierre, University Hospital, Strasbourg, FranceDepartment of Gynaecology & Obstetrics, Hautepierre, University Hospital, Strasbourg, FranceDepartment of Pediatric Surgery, Hautepierre, University Hospital, Strasbourg, FranceDepartment of Pediatric Surgery, Hautepierre, University Hospital, Strasbourg, FranceVanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation. The ultrasound evolution was marked by a progressive closure of the abdominal wall defect from 19-week gestation and the appearance of dilated intra-abdominal loops. The child was born with a closed abdominal wall except a small remnant at the level of the former gastroschisis orifice. Explorative laparotomy revealed extensive midgut atresia with only 50 cm of remaining midgut. A jejunocolic anastomosis was performed. The child is now 3 years old and has a favorable outcome with only 2 nights a week of parenteral nutrition. A total of 39 cases of VG type D from Perrone et al. classification are described in the literature from 1991 to 2019, among which 19 (48.7%) are alive at the time of publication but only 4 cases are described with a long-term follow-up of 3 years or more. This is the fifth case described with a favorable evolution after 3-year follow-up.http://dx.doi.org/10.1155/2020/8542087 |
| spellingShingle | Elise Abi Rached N. Sananes I. Kauffmann-Chevalier F. Becmeur Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review Case Reports in Obstetrics and Gynecology |
| title | Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review |
| title_full | Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review |
| title_fullStr | Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review |
| title_full_unstemmed | Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review |
| title_short | Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review |
| title_sort | vanishing gastroschisis with a favorable outcome after a 3 year follow up a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/8542087 |
| work_keys_str_mv | AT eliseabirached vanishinggastroschisiswithafavorableoutcomeaftera3yearfollowupacasereportandliteraturereview AT nsananes vanishinggastroschisiswithafavorableoutcomeaftera3yearfollowupacasereportandliteraturereview AT ikauffmannchevalier vanishinggastroschisiswithafavorableoutcomeaftera3yearfollowupacasereportandliteraturereview AT fbecmeur vanishinggastroschisiswithafavorableoutcomeaftera3yearfollowupacasereportandliteraturereview |