[Prenatal spontaneous closure of gastroschisis: a paradoxal evolution with poor outcome].
Usually considered as an isolated malformation carrying a rather good postnatal prognosis, gastroschisis may however occasionally bear an unfavourable outcome despite reassuring ultrasound follow-up. We report on the case of a fetus with gastroschisis diagnosed at 13 weeks of gestation followed by a progressive bowel absorption and closure of the abdominal defect at 24 weeks, associated with a 10 to 15mm intra-abdominal bowel tract dilatation. At birth, the infant did not show any recognizable ventral wall defect or scar. Surgical exploration was decided due to the presence of a high level bowel tract occlusion associated with a dilated proximal jejunum on standard abdominal X-ray radiograph. Long-segment atresia of the midintestine without any possible surgical option was observed. The infant died at day 5.
Foucher
C
C
Unité de médecine foetale, centre Olympe de Gouges, CHRU de Tours, 2, boulevard de Tonnelle, 37044 Tours, France.
Herve
P
P
Lardy
H
H
Perrotin
F
F
D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D020139:Gastroschisis / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000175:diagnosis*; D007421:Intestine, Small / Q000002:abnormalities*; D008297:Male; D011247:Pregnancy; D016216:Ultrasonography, Prenatal