Fajardo-Ochoa F, Olivas-Peñuñuri MR

Language: Spanish
References: 20
Page: 31-35
PDF size: 38.51 Kb.

ABSTRACT

Introduction: Gastroschisis is a defect in the abdominal wall causing evisceration of abdominal contents. The defect usually occurs on the right side of the umbilical cord and is never enclosed in a peritoneal sac. Gastroschisis is primary an isolated defect occurring sporadically and having a multifactorial etiology.
Cases Report: We reported two dicigotic and premature twins and both affected with gastroschisis. Twin I: Male, with defect of 3x3 cm. of length and parts of stomach, jejunum and colon eviscerated with moderate serositis. Protective silo was placed for gradual reduction of herniated abdominal contents. Definitive closing was after two weeks, discharged well 30 days after admission. Twin II: Male, with defect of 3x3 cm. of length and thin intestine parts eviscerated with mild serositis. Protective silo was placed for gradual reduction of herniated abdominal contents. Definitive closing was after three weeks, discharged well 34 days after admission.
Conclusion: Gastroschisis in siblings and particularly in twins is an infrequent event, which can be diagnosed prenatally by ultrasonography, this will allow to an opportune surgical handling and remarkable improvement in survival.

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