Winter Lindy W, Giuseppetti Mary, Breuer Christopher K
Wilford Hall Medical Center, Lackland Air Force Base, TX, USA.
Pediatr Surg Int. 2005 May;21(5):415-6. doi: 10.1007/s00383-005-1375-z. Epub 2005 Feb 26.
We report a case in which a neonate with a prenatal diagnosis of gastroschisis was born with midgut atresia and the mummified remains of the midgut arising from a spontaneously closed abdominal wall defect. As our ability to prenatally diagnose abdominal wall defects has improved, we have gained some insight into the prenatal natural history of this pathological process. We present a case in which an abdominal wall defect spontaneously closed and was associated with an apparent in utero midgut vascular accident. This unusual case provides some insight into the mechanisms underlying the pathophysiology of gastroschisis.
我们报告了一例病例,该例产前诊断为腹裂的新生儿出生时伴有中肠闭锁,且中肠木乃伊化残骸源自自发闭合的腹壁缺损。随着我们产前诊断腹壁缺损能力的提高,我们对这一病理过程的产前自然病史有了一些了解。我们呈现了一例腹壁缺损自发闭合且与明显的子宫内中肠血管意外相关的病例。这一罕见病例为腹裂病理生理学的潜在机制提供了一些见解。