Abi Rached Elise, Sananes N, Kauffmann-Chevalier I, Becmeur F
Department of Gynaecology & Obstetrics, Hautepierre, University Hospital, Strasbourg, France.
Department of Pediatric Surgery, Hautepierre, University Hospital, Strasbourg, France.
Case Rep Obstet Gynecol. 2020 Jan 7;2020:8542087. doi: 10.1155/2020/8542087. eCollection 2020.
Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation. The ultrasound evolution was marked by a progressive closure of the abdominal wall defect from 19-week gestation and the appearance of dilated intra-abdominal loops. The child was born with a closed abdominal wall except a small remnant at the level of the former gastroschisis orifice. Explorative laparotomy revealed extensive midgut atresia with only 50 cm of remaining midgut. A jejunocolic anastomosis was performed. The child is now 3 years old and has a favorable outcome with only 2 nights a week of parenteral nutrition. A total of 39 cases of VG type D from Perrone et al. classification are described in the literature from 1991 to 2019, among which 19 (48.7%) are alive at the time of publication but only 4 cases are described with a long-term follow-up of 3 years or more. This is the fifth case described with a favorable evolution after 3-year follow-up.
消失性腹裂（VG）是腹裂的一种严重并发症，死亡率很高。我们在此报告一例VG病例，经过3年随访，结果良好。一名26岁的初产妇因胎儿在妊娠13周时被诊断为单纯性腹裂而被转诊至斯特拉斯堡大学医院。超声检查显示，自妊娠19周起腹壁缺损逐渐闭合，腹腔内肠袢扩张。婴儿出生时腹壁已闭合，仅在原腹裂孔处有一小残余。剖腹探查发现广泛的中肠闭锁，仅剩余50厘米中肠。进行了空肠结肠吻合术。该患儿现3岁，结果良好，每周仅需2个晚上进行肠外营养。1991年至2019年的文献中总共描述了39例佩罗内等人分类中的D型VG病例，其中19例（48.7%）在发表时仍存活，但只有4例进行了3年或更长时间的长期随访。这是第5例经3年随访后结果良好的病例描述。
