Fetal Gastroschisis. Case presentation
Keywords:
gastroschisis, abdominal cavity, birth defect, genetic counselingAbstract
Introduction: Gastroschisis is a congenital defect characterized by incomplete closure of the abdominal wall, usually to the right of the umbilical cord. The cause is multifactorial. Ultrasound is the primary tool in the diagnosis and follow-up of this disease.
Patient information: A 21-year-old pregnant woman, primigravida, white skin, rural background, ninth-grade education, with no medical history, at 22.5 weeks' gestation, underwent genetic ultrasound; her fetus was diagnosed with gastroschisis. Genetic counseling was provided, and the pregnant woman and her family opted for voluntary termination of the pregnancy. A stillborn female fetus weighing 480 g was obtained, with intestinal loops outside the abdominal cavity.
Conclusions: Gastroschisis is one of the most common congenital malformations of the abdominal wall. It is diagnosed by ultrasound and treated surgically, but because it is associated with multiple complications, voluntary termination of pregnancy is often the option, following genetic counseling, as occurred in this case.
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