先天性腹裂（先天性脐膨出）还是先天性腹壁外翻？一种罕见的腹部缺陷。
Gastroschisis or exomphalos? An unusual abdominal defect.
机构信息
Department of General Surgery, North Middlesex University Hospital NHS Trust, London, UK
Department of Paediatric Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.
出版信息
BMJ Case Rep. 2021 Sep 8;14(9):e242904. doi: 10.1136/bcr-2021-242904.
A baby with an antenatal diagnosis of exomphalos was born at term. The abnormality had a highly unusual appearance, a right-sided paraumbilical defect, similar to gastroschisis, but with a sac typical of exomphalos containing both abdominal contents and over 1 L of serosanguinous fluid. The sac was drained and suspended from the top of the incubator in silo fashion. Definitive closure was achieved at day 3 of life, and the patient had a non-eventful recovery. Despite exomphalos and gastroschisis normally being discrete entities, ambiguity in the presentation this case necessitated a composite management approach.
一名经产前诊断为脐膨出的婴儿足月出生。该畸形具有非常异常的外观，右侧脐旁缺损，类似于腹裂，但有一个典型的脐膨出囊，包含腹部内容物和超过 1 升的浆液血性液体。囊被引流并以筒仓的方式悬挂在孵化器的顶部。在出生后的第 3 天完成了确定性关闭，患者恢复顺利，无并发症。尽管脐膨出和腹裂通常是不同的实体，但该病例的表现存在模糊性，需要采用综合管理方法。
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