title: Gastroschisis with gastric perforation and jejunal stenosis. A rare association of anomalies.
abstract: OBJECTIVE
  Gastroschisis with prenatal gastric perforation and intestinal stenosis is a rare and serious anomaly. although there are several case reports, no case series exists to suggest the prognosis for these infants.
  
  
  METHODS
  In this report a case of gastroschisis with gastric perforation and jejunal stenosis in male newborn is presented with literature review. The stomach, small bowel and the part of the colon were herniated through the abdominal wall defect. A large perforation site at the anterior wall of fundus and a thin fibrous strip that causing stenosis of jejunum was found.
  
  
  RESULTS
  Gastrorraphy was performed. Stenosis of jejunum was resected and t-t anastomosis was performed, followed by primary fascial closure.
  
  
  CONCLUSIONS
  The prenatal sonographic finding of bowel or gastric perforation are variable. Antenatal bowel dilatation and in particular intraabdominal bowel dilatation is prognostically useful for detection of patients with worse outcome. The absence of bowel dilatation cannot fully exclude complex patients. Early restoration of bowel continuity using primary anastomosis and primary abdominal wall closure are not associated with prolonged time for full enteral feeding and length of hospital stay.
  
  
  CONCLUSIONS
  We have presented the first detailed report of surgical intervention and outcomes in case of gastroschisis with prenatal gastric perforation and congenital jejunal stenosis. Early restoration of bowel continuity using primary anastomosis and primary abdominal wall closure is recommended here. More research should be focused to predict complex gastroschisis and to improve prenatal diagnosis and postnatal management, without a significant increase in morbidity and mortality.
  
  
  BACKGROUND
  Gastroschisis, Gastric perforation, Stenosis of jejunum.
authors.forename: Vesna Milojkovic
authors.initials: VM
authors.lastname: Marinovic
authors.forename: Marija Lukac
authors.initials: ML
authors.lastname: Lukac
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Mikovic
authors.forename: Blagoje
authors.initials: B
authors.lastname: Grujic
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Stojanovic
authors.forename: Dalibor
authors.initials: D
authors.lastname: Sabbagh
authors.forename: Gordana
authors.initials: G
authors.lastname: Samardzija
mesh_terms: D003251:Constriction, Pathologic / Q000601:surgery; D020139:Gastroschisis / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007579:Jejunal Diseases / Q000601:surgery*; D008297:Male; D013275:Stomach Rupture / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal / Q000379:methods