Left-sided Gastroschisis with Skeletal Deformities SD01-SD02
Dr. Rajkumar Motiram Meshram,
219, Shilpa Society, Behind Ajanta Marble, Manish Nagar, Main Road, Nagpur, Maharashtra, India.
Gastroschisis is a full thickness congenital defect in the abdominal wall. It has strong association with young maternal age of first para first gesta and usually in premature male babies. Though the pathogenesis is unclear, vascular insult during embryonic period is the most accepted theory. Variable length of intestine and occasionally parts of other abdominal organs are herniated outside the abdominal wall with no covering membrane or sac. It is commonly associated with gastrointestinal anomalies but extraintestinal anomalies are rare. An early preterm male neonate of 25-year-old first para first gesta mother without significant antenatal events exhibited left-sided gastroschisis with evisceration of both small and large intestine with stomach. He had absent digits of left foot except a single appendage, Congenital Talipes Equino Varus (CTEV) on right foot and pelvic deformity. Early identification of this defect by improving antenatal care and ultrasound examination helps to identify high risk patients in order to choose a specialised centre to optimise their outcome.