Garvin Jodi, Sampath Venkatesh, Karody Vijender R
Department of Pediatrics, Medical College of Wisconsin, Wauwatosa, Children's Hospital of Wisconsin, Milkwaukee, WIsconsin.
Department of Neonatology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
AJP Rep. 2016 Mar;6(1):e15-7. doi: 10.1055/s-0035-1563720. Epub 2015 Oct 16.
Introduction Gastroschisis is considered to be an isolated abdominal wall defect that is infrequently associated with other anomalies. Case This case describes an infant with gastroschisis who developed refractory shock after an uncomplicated surgery for bowel atresia. He was found to have adrenal insufficiency secondary to septo-optic dysplasia with panhypopituitarism. Conclusion Gastroschisis and septo-optic dysplasia arise from vascular disruptions, therefore presence in the same infant can be more than just a coincidence. While this is not a common occurrence, our case illustrates the need for a high index of suspicion with an unusual clinical course.
腹裂被认为是一种孤立的腹壁缺损,很少与其他异常相关。病例:本病例描述了一名患有腹裂的婴儿,在进行了简单的肠闭锁手术后出现难治性休克。发现其患有继发于视隔发育不良伴全垂体功能减退的肾上腺功能不全。结论:腹裂和视隔发育不良均由血管破坏引起,因此出现在同一婴儿身上可能不仅仅是巧合。虽然这种情况并不常见,但我们的病例表明,对于不寻常的临床病程需要高度怀疑。