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人体博物馆标本中罕见的左侧腹裂病例。

A Rare Case of Left-Sided Gastroschisis in a Human Museum Specimen.

作者信息

Nayak Gyanaranjan, Sahoo Niranjan, Pradhan Sujita, Singh Gyanraj, Panda Sitansu K

机构信息

Anatomy, Institute of Medical Sciences (IMS) and SUM Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, IND.

Forensic Medicine, All India Institute of Medical Sciences (AIIMS) Bhopal, Bhopal, IND.

出版信息

Cureus. 2022 Sep 9;14(9):e28995. doi: 10.7759/cureus.28995. eCollection 2022 Sep.

DOI:10.7759/cureus.28995
PMID:36249654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9550180/
Abstract

Gastroschisis is a congenital defect in the anterior abdominal wall resulting in herniation of the abdominal viscera without any fetal membrane covering it. It usually occurs to the right of a normally inserted umbilical cord. The anomaly is associated with intrauterine growth retardation, stillbirth, and preterm delivery. We found a preserved specimen of a 17- to 20-week-old male human fetus presenting with gastroschisis in the Departmental Museum of Anatomy of the Institute of Medical Sciences and SUM Hospital, Bhubaneshwar, a medical college in Eastern India. The fetus showed a hiatus on the left side in the infraumbilical portion of the anterior abdominal wall with evisceration of the liver, spleen, coils of the small intestine, and a segment of the large intestine. The fetus otherwise had no obvious gross abnormality. The case is of particular interest as the incidence of left-sided gastroschisis is very rare.

摘要

腹裂是前腹壁的一种先天性缺陷,导致腹腔内脏器疝出,且无任何胎膜覆盖。它通常发生在正常插入脐带的右侧。这种异常与宫内生长迟缓、死产和早产有关。我们在印度东部一所医学院——布巴内什瓦尔医学科学研究所和SUM医院解剖学系博物馆发现了一个保存完好的17至20周龄男性人类胎儿腹裂标本。该胎儿前腹壁脐下部分左侧有一个裂孔,肝脏、脾脏、小肠肠袢和一段大肠疝出。该胎儿其他方面无明显大体异常。由于左侧腹裂的发生率非常罕见,该病例特别引人关注。

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A Rare Case of Left-Sided Gastroschisis in a Human Museum Specimen.人体博物馆标本中罕见的左侧腹裂病例。
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本文引用的文献

1
Mortality-related factors in gastroschisis - a Jamaican perspective.先天性腹裂的死亡相关因素——牙买加视角
J Pediatr Surg. 2017 Apr;52(4):530-533. doi: 10.1016/j.jpedsurg.2016.10.045. Epub 2016 Oct 30.
2
When Closure Fails: What the Radiologist Needs to Know About the Embryology, Anatomy, and Prenatal Imaging of Ventral Body Wall Defects.当闭合失败时:放射科医生需要了解的关于腹侧体壁缺损的胚胎学、解剖学和产前影像学知识。
Semin Ultrasound CT MR. 2015 Dec;36(6):522-36. doi: 10.1053/j.sult.2015.01.001. Epub 2015 Jan 14.
3
Abdominal wall defects: prenatal diagnosis, newborn management, and long-term outcomes.
腹壁缺损:产前诊断、新生儿管理及长期预后
Semin Pediatr Surg. 2014 Oct;23(5):283-90. doi: 10.1053/j.sempedsurg.2014.09.009. Epub 2014 Sep 4.
4
Complex gastroschisis is a different entity to simple gastroschisis affecting morbidity and mortality-a systematic review and meta-analysis.复杂型腹裂与单纯型腹裂是不同的疾病实体,会影响发病率和死亡率——一项系统评价和荟萃分析
J Pediatr Surg. 2014 Oct;49(10):1527-32. doi: 10.1016/j.jpedsurg.2014.08.001. Epub 2014 Sep 4.
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Diagnosis of abdominal wall defects in the first trimester.孕早期腹壁缺损的诊断。
Curr Opin Obstet Gynecol. 2014 Apr;26(2):104-9. doi: 10.1097/GCO.0000000000000053.
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Inferior gastroschisis.下腹裂
BMJ Case Rep. 2013 Jul 31;2013:bcr2013200416. doi: 10.1136/bcr-2013-200416.
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Advances in surgery for abdominal wall defects: gastroschisis and omphalocele.腹壁缺陷手术的进展:腹裂和脐膨出。
Clin Perinatol. 2012 Jun;39(2):375-86. doi: 10.1016/j.clp.2012.04.008.
8
Neonatal abdominal wall defects.新生儿腹壁缺陷。
Semin Fetal Neonatal Med. 2011 Jun;16(3):164-72. doi: 10.1016/j.siny.2011.02.003. Epub 2011 Apr 6.
9
Clinical risk factors for gastroschisis and omphalocele in humans: a review of the literature.人类腹裂和脐膨出的临床危险因素:文献综述
Pediatr Surg Int. 2010 Dec;26(12):1135-48. doi: 10.1007/s00383-010-2701-7. Epub 2010 Aug 31.
10
Agricultural-related chemical exposures, season of conception, and risk of gastroschisis in Washington State.农业相关化学暴露、受孕季节与华盛顿州腹裂风险的关系
Am J Obstet Gynecol. 2010 Mar;202(3):241.e1-6. doi: 10.1016/j.ajog.2010.01.023.