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Related Experiment Videos

[Gastroschisis recognized sub partu--a case report].

P Boabang1, R Bogesits Aufschneider

  • 1Abteilung für Geburtshilfe u. Gynäkologie, Maria-Hilf-Krankenhaus, Bergheim/Erftkreis.

Zeitschrift Fur Geburtshilfe Und Neonatologie
|September 14, 1999
PubMed
Summary

Prenatal ultrasound missed fetal gastroschisis in one case, with diagnosis occurring during labor. This highlights the importance of subpartal ultrasonography for detecting gastroschisis, especially when prenatal screening is negative.

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Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Pediatric Surgery

Background:

  • Gastroschisis is a congenital abdominal wall defect.
  • Prenatal diagnosis of gastroschisis is crucial for optimal perinatal management.
  • Missed prenatal diagnosis can complicate delivery and neonatal care.

Purpose of the Study:

  • To report a case of missed prenatal diagnosis of fetal gastroschisis.
  • To emphasize the diagnostic utility of subpartal ultrasonography.
  • To review diagnostic and therapeutic aspects of gastroschisis and provide obstetric management recommendations.

Main Methods:

  • Case report of a 21-year-old woman at 39 weeks gestation.
  • Review of prenatal ultrasonographic examinations (four performed).

Related Experiment Videos

  • Diagnosis confirmed during labor via ultrasonography.

    • Main Results:

    • Fetal gastroschisis was not detected in four prenatal ultrasounds.
    • Gastroschisis was incidentally diagnosed during a labor ultrasonographic examination.
    • The case underscores potential limitations of standard prenatal screening.

    Conclusions:

    • Subpartal ultrasonography can be valuable for diagnosing gastroschisis when prenatal screening fails.
    • Timely diagnosis is essential for appropriate obstetric and neonatal management.
    • Further research into improving prenatal detection rates is warranted.