Said Abdul Hadi, Md Nor Mohd Zamir, Che Yusof Mohd Daud
M.D (USM), MMed (Family Medicine), Department of Family Medicine, International Islamic University of Malaysia (IIUM), Kuantan, Pahang, Malaysia.
MBBS (UiTM), Adv.Med.Sc. (UiTM), OHD (NIOSH), Department of Family Medicine, International Islamic University of Malaysia (IIUM), Kuantan, Pahang, Malaysia. Email:
Malays Fam Physician. 2023 Sep 16;18:53. doi: 10.51866/cr.278. eCollection 2023.
Gastroschisis may lead to serious congenital disability, as prolonged exposure to the amniotic fluid could compromise the mesenteric blood flow and irritate the foetal intestinal wall. The consequences of gastroschisis include spontaneous preterm birth, growth restriction and foetal demise. Awareness of this disease is essential, as a high mortality rate is linked to inadequate initial therapy. Early detection of the disease, mainly by primary care physicians as the initial point of contact, is crucial to improve the course of the condition through early monitoring and referral to tertiary care centres. With this case report, we hope to highlight the need of detecting gastroschisis before to the third trimester of pregnancy for better readiness, especially in primary care settings located far from tertiary centres.
腹裂可能导致严重的先天性残疾，因为长时间暴露于羊水中会损害肠系膜血流并刺激胎儿肠壁。腹裂的后果包括自然早产、生长受限和胎儿死亡。认识这种疾病至关重要，因为高死亡率与初始治疗不足有关。主要由作为最初接触点的初级保健医生进行疾病的早期检测，对于通过早期监测和转诊至三级医疗中心来改善病情发展至关重要。通过本病例报告，我们希望强调在妊娠晚期之前检测腹裂以做好更好准备的必要性，特别是在远离三级中心的初级保健机构中。
