[An unusual course of fetal gastroschisis].
We report on prenatal diagnosis of gastroschisis at 20th gestational week. In addition to gastroschisis intraabdominal intestinal stenosis was detected. As a consequence cesarean section was planned close to term. Control examinations in the last trimester didn't confirm initial diagnosis so that the recommended mode of delivery was changed. However postpartum diagnosis again confirmed the early diagnosis of gastroschisis including spontaneous necrosis of dislocated intraamniotic intestinal parts. The course demonstrates that even at unambiguous prenatal diagnosis control examinations are recommended as dynamic changes may occur in the second and third trimester. Thus mode of delivery may have to be adapted close to term to reduce maternal risk.
Wilhelm
C
C
Universitäts-Frauenklinik, Freiburg.
Prömpeler
H
H
Rädecke
J
J
Krüger
M
M
Breckwoldt
M
M
D000009:Abdominal Muscles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging / Q000601:surgery; D007415:Intestinal Obstruction / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D007420:Intestine, Large / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D009336:Necrosis; D011247:Pregnancy; D016216:Ultrasonography, Prenatal
Aussergewöhnlicher Verlauf einer fetalen Gastroschisis.