Closed Gastroschisis.

Area of Science:

• Pediatric Surgery
• Neonatal Medicine
• Congenital Anomalies

Background:

• Closed gastroschisis is an uncommon congenital anomaly.
• It is frequently linked with complications like intestinal atresia and short bowel syndrome.
• Presentation without a visible abdominal defect is rare.

Purpose of the Study:

• To describe two unique cases of closed gastroschisis.
• To highlight the presentation of neonatal intestinal obstruction and para-umbilical evisceration in these cases.
• To emphasize the absence of a typical abdominal wall defect.

Main Methods:

• Case report methodology.
• Clinical case review of two neonates.
• Diagnostic imaging and surgical findings documentation.

Main Results:

• Two neonates presented with clinical signs of intestinal obstruction.
• Para-umbilical evisceration of the intestines was observed without a discernible abdominal wall defect.
• These findings are consistent with a closed gastroschisis variant.

Conclusions:

• Closed gastroschisis can manifest with neonatal intestinal obstruction and evisceration without an abdominal defect.
• This presentation challenges typical diagnostic expectations for gastroschisis.
• Further investigation into the pathophysiology and management of this rare variant is warranted.