Gastroschisis is a rare congenital abdominal wall defect characterized by intestinal evisceration to the right of the umbilical stalk. In less than 6% of cases, the fascial defect closes around the herniated viscera in utero. The mechanism of fascial closure in these cases is unknown; however, the tourniquet effect on the mesenteric vasculature is thought to lead to intestinal atresia and midgut infarction. We report a case of a female neonate with a prenatal diagnosis of gastroschisis who was found to have a closed defect at the time of delivery. She required emergent operation for symptoms of intestinal obstruction and bowel ischemia.
HoubenCDavenportMAde-AjayiNFlackN.PatelS.Closing gastroschisis: diagnosis, management, and outcomes. J Pediatr Surg. 2009;44:343-347.
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VoglerSFentonSScaifeE, et al.Closed gastroschisis: total parenteral nutrition-free survival with aggressive attempts at bowel preservation and intestinal adaptation. J Pediatr Surg. 2008;48:1006-1010.
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PerroneEOlsonJGoldenJ, et al.Closing gastroschisis: the good, the bad, and the not-so ugly. J Pediatr Surg. 2019;54:60-64.
