scholarly journals Body Stalk Anomaly in a 9-Week Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Fabio E. Quijano ◽  
María Mónica Rey ◽  
Mariana Echeverry ◽  
Roland Axt-Fliedner
Keyword(s):  
Abdominal Wall ◽  
Umbilical Cord ◽  
Abdominal Wall Defect ◽  
Termination Of Pregnancy ◽  
Pathologic Examination ◽  
Trigger Factors ◽  
Wall Defect ◽  
Malformation Syndrome ◽  
The Right

Body stalk anomaly is a rare and severe malformation syndrome in which the exact pathophysiology and trigger factors are still unknown. This is a case of a 30-year-old patient who underwent ultrasound at 9 weeks of gestation. It revealed an abnormal location of the inferior body of the embryo in the coelomic space. The findings suggested a short umbilical cord syndrome. In order to confirm the diagnosis, the patient was scheduled for a second ultrasonography at 11 weeks of gestation. The obtained images, confirmed the location of the inferior body in the coelomic space with no visible bladder, absence of the right leg, severe abdominal wall defect, consistent with an omphalocele, and a short 5 mm umbilical cord. These last ultrasonographic findings were consistent with body stalk anomaly. Because of severe malformation incompatible with life, the patient was offered termination of pregnancy. Pathologic examination confirmed the suspected pathology of body stalk anomaly.

Left-Sided Gastroschisis

2006 ◽  
Vol 72 (7) ◽  
pp. 637-640 ◽  
Author(s):  
Kenneth W. Gow ◽  
Amina Bhatia ◽  
Daniel F. Saad ◽  
Mark L. Wulkan ◽  
Kurt F. Heiss
Keyword(s):  
Abdominal Wall ◽  
Clinical Course ◽  
Abdominal Wall Defect ◽  
Abdominal Wall Defects ◽  
Wall Defect ◽  
The Right

Gastroschisis is a periumbilical, abdominal wall defect arising to the right of the umbilicus. We describe the clinical course of a left-sided gastroschisis in a term female born at 39 weeks’ gestation. To our knowledge, there have been only 14 left-sided abdominal wall defects reported in the literature. We discuss our case and review the literature to try to determine if there is any clinic difference between right- versus left-sided lesions to make recommendations as to management.

Histology of a Paraumbilical Band in a Neonate with Gastroschisis

2011 ◽  
Vol 14 (6) ◽  
pp. 493-495 ◽  
Author(s):  
Ryuji Fukuzawa ◽  
Miki Toma ◽  
Aya Nomura
Keyword(s):  
Small Intestine ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Fibrous Tissue ◽  
The Other ◽  
Vascular Structure ◽  
Wall Defect ◽  
The Right

We report a case of gastroschisis in which a paraumbilical band was found at the right margin of the abdominal wall defect and extended into the antimesenteric side of the small intestine. The band consisted of 2 thin cords. Microscopically, 1 band showed a fibrous tissue, and the other 1 revealed a unique vascular structure resembling the vitelline artery and vein, suggesting that the paraumbilical band represents a remnant of the yolk stalk that failed to be incorporated into the umbilical stalk. The origin of the paraumbilical band and an associated pathogenetic hypothesis of gastroschisis are discussed.

scholarly journals First trimester diagnosis of body stalk anomaly complicated by ectopia cordis

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052098021
Author(s):  
Yi Yang ◽  
Hong Wang ◽  
Zhenpeng Wang ◽  
Xuefeng Pan ◽  
Ying Chen
Keyword(s):  
Abdominal Wall ◽  
Umbilical Cord ◽  
Chromosomal Abnormalities ◽  
Abdominal Wall Defect ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Ectopia Cordis ◽  
Wall Defect ◽  
Abdominal Organs ◽  
Increased Risk

Body stalk anomaly is a rare abnormality characterized by an abdominal wall defect with evisceration of abdominal organs, severe kyphoscoliosis, and a very short or absent umbilical cord. Ectopia cordis (EC) is a rare, lethal anomaly characterized by complete or partial malpositioning of the heart outside of the thorax. A 28-year-old healthy primigravida was referred to our department to undergo a nuchal translucency thickness scan at 12 weeks’ gestation. The scan revealed typical features of body stalk anomaly and EC. Given the lethal condition of the fetus, the patient opted for termination of the pregnancy. Body stalk anomalies, especially those complicated by EC, are universally lethal for the affected fetus. Selective termination should be recommended to avoid possible complications that can arise during pregnancy. Additionally, the future parents should be informed that because the condition is not associated with chromosomal abnormalities, there is no increased risk of recurrence.

Gastroschisis-can be prevented?

2017 ◽  
Vol 6 (8) ◽  
pp. 3679
Author(s):  
Mahesweta Guru ◽  
Shefali Patil
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Tube Feeding ◽  
Wall Defect ◽  
Abdominal Wall Repair ◽  
Male Baby ◽  
The Right ◽  
Umbilical Cord Insertion ◽  
Ryle’S Tube

Gastroschisis is a congenital anterior abdominal wall defect, adjacent and usually to the right of the umbilical cord insertion. Gastroschisis has no covering sac and no associated syndromes. This differentiates it from an omphalocele, which usually is covered by a membranous sac. G4P3L1D2 by date 37 weeks by scan 37 weeks (17.2) Ultrasonography S/O Gastrochisis delivered a male baby of 2.4kg and was shifted to the NICU. The exposed contents were given cellulose dressing. On post-natal day 2 baby was taken for abdominal wall repair. Baby was started on Ryle’s tube feeding and was further managed by the neonatologist. 

scholarly journals Fetal Autopsy Showing Two Ventral Body Wall Defects: An Unusual Presentation

2020 ◽  
Author(s):  
Anupriya Kaur ◽  
Arun Prasad ◽  
Jessy Jayaraman Pushpaja ◽  
Kanchan Kapoora
Keyword(s):  
Abdominal Wall ◽  
Body Wall ◽  
Abdominal Wall Defect ◽  
Lower Lobe ◽  
The Body ◽  
Unusual Presentation ◽  
Thoracic Wall ◽  
Fetal Autopsy ◽  
Wall Defect ◽  
The Right

Thoracoschisis and gastroschisis are types of ventral body wall defects. Usually thoracoabdominoschisis presents as a continuous defect. Here the authors present the case of autopsy of 18 weeks old fetus with two well-separated ventral body wall defects. Thoracoschisis was a right lateral thoracic wall defect while gastroschisis, a midline infraumblical abdominal wall defect. Through the right lateral thoracic wall parts of two organs appeared to be protruding. On dissection, 8th and 9th ribs with the liver and the lower lobe of the right lung were herniating outside the body. The right lung was haemorrhagic. Various embryological theories on ventral body wall defects have been discussed in view of the present case.

Closed Gastroschisis: A Rare Abdominal Wall Defect

2021 ◽  
pp. 000313482110298
Author(s):  
Hannah Cockrell ◽  
Taylor Shaw ◽  
Michael W. Morris
Keyword(s):  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Intestinal Atresia ◽  
Bowel Ischemia ◽  
Fascial Closure ◽  
Fascial Defect ◽  
Wall Defect ◽  
Emergent Operation ◽  
The Right

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.

Anesthesia for Gastroschisis or Omphalocele Repair

2021 ◽  
pp. 215-220
Author(s):  
Caitlin Aveyard
Keyword(s):  
Abdominal Wall ◽  
Amniotic Membrane ◽  
Chromosomal Abnormalities ◽  
Abdominal Wall Defect ◽  
Anesthetic Management ◽  
Surgical Correction ◽  
Congenital Defects ◽  
Full Thickness ◽  
Wall Defect ◽  
The Right

Gastroschisis and omphalocele are congenital defects in the abdominal wall. These two conditions have different embryologic origins, but anesthetic management is similar for both. Gastroschisis is a full-thickness abdominal wall defect resulting in extrusion of abdominal viscera into the amniotic space without amniotic membrane coverage. The defect is usually to the right of the umbilicus. Omphalocele is a defect in the abdominal wall in the umbilical area in which the extruded abdominal contents (intestine, liver, spleen, bladder) are covered in a thin sac. Infants with omphalocele often have associated syndromes or chromosomal abnormalities. With either gastroschisis or omphalocele, the extruded abdominal contents must be covered and kept moist before surgical correction.

Surgical treatment of inguinal eventration in argentine terrestrial turtle (Chelonoidis chilensis) – case report

2020 ◽  
Vol XXV (144) ◽  
pp. 46-50
Author(s):  
Juan Carlos Troiano ◽  
Diego Federico Blanco ◽  
Matias Eugenio Sclocco ◽  
Francisco Antonio Bava
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Coelomic Cavity ◽  
Intact Skin ◽  
Wall Defect ◽  
Posterior Limb ◽  
Left Posterior ◽  
The Right

Eventration is a separation of the musculoaponeurotic layers of the abdominal wall resulting in protrusion of abdominal contents, and characterized by the absence of the hernial sac and intact skin. We describe a case of chronic left sided eventration associated with deformity of the right femoral fossa in a 30-year-old female Argentine land tortoise. The animal was referred for evaluation of a soft and non-painful deformity of the left lumbar fossa and third degree lameness of the left posterior limb. Eventration of one bladder lobe and oviduct loops was diagnosed by ultrasonography. We describe the anesthetic protocol and the surgical technique used in the treatment with approach to the coelomic cavity through the prefemoral fossa, as well as the resolution of the abdominal wall defect.

scholarly journals Fetus with Lateral Gastroschisis Born to a Celiac Mother

2019 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Kaushaki Shankar ◽  
Parveen Kumar ◽  
Ashish Jain ◽  
Abhishek Chopra
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Posterior Aspect ◽  
Wall Defect ◽  
Lateral Abdominal Wall ◽  
Rare Site ◽  
Vascular Defect ◽  
Acid Pathway ◽  
The Right

Gastroschisis is a rare anterior abdominal wall defect which develops secondary to an early embryonic vascular defect. We report here a rare site of gastroschisis involving the posterior aspect of lateral abdominal wall on the right side, born to a celiac mother. There is no reported literature on any association between gastroschisis and celiac disease. We propose here possible role of palmitic acid pathway in this index case.

scholarly journals Pentalogy of Cantrell: A Rare Multiple Congenital Malformation Syndrome

2015 ◽  
Vol 7 (3) ◽  
pp. 210-212
Author(s):  
Balwinder Kaur ◽  
Parneet Kaur ◽  
Khushpreet Kaur ◽  
Princy Mittal
Keyword(s):  
Abdominal Wall ◽  
Congenital Malformation ◽  
South Asian ◽  
Abdominal Wall Defect ◽  
Cardiac Defects ◽  
Pentalogy Of Cantrell ◽  
Wall Defect ◽  
Malformation Syndrome ◽  
Congenital Cardiac Anomalies ◽  
Congenital Malformation Syndrome

ABSTRACT Pentalogy of Cantrell is a rare multiple congenital malformation syndrome characterized by combination of five features: abdominal wall defect, defect of lower sternum, defect of diaphragmatic pericardium, defect of anterior diaphragm and congenital cardiac anomalies. These defects can be diagnosed as early as 1st trimester of pregnancy. The complexity of these anomalies, in particular the presence of cardiac defects, determines the management as well as prognosis. How to cite this article Kaur P, Kaur K, Kaur B, Mittal P. Pentalogy of Cantrell: A Rare Multiple Congenital Malformation Syndrome. J South Asian Feder Obst Gynae 2015;7(3):210-212.

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