Gastroschisis with single, large intestinal perforations in
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A preterm neonate (gestational age 32 weeks, birth weight (1600 g), delivered by cesarean section, presented with gastroschisis and single, large ileal perforation. The mother had completed five prenatal visits, was not a smoker, and did not use any illicit drugs. All serologies were negative, and there was no history of prenatal infections, including vaginal streptococcal infection. Two doses of prenatal corticosteroids were administered after 24 weeks of gestation with 2 weeks of interval in between. There was onset of preterm labor spontaneously. Cesarean delivery was performed due to signs of fetal distress outside and referred to us. The amniotic fluid was stained with meconium. Bowel perforation was present in the ileum around 2 cm × 2 cm in size with gastroschisis. Gastroschisis defect was around 1.5 cm × 2 cm in size. Surgery was performed, which consisted of simple closure of bowel perforation and skin closure. The patient remained in critical condition. Despite mechanical ventilation, antibiotic therapy, and vasopressor support, he continued to deteriorate and eventually died 48 h after birth....

http://www.jcnonweb.com/article.asp?issn=2249-4847;year=2017;volume=6;issue=3;spage=190;epage=191;aulast=Singh
Preview
Like
Comment
Share