Cayetano Cabrera Diana, Zalles Vidal Cristian, Peñarrieta Daher Alejandro, Moreno Alfonso Julio César, Bautista-Jiménez Katherine, Melendez-Roque Lourdes
Hospital Infantil de México Federico Gómez. Cirugía Pediátrica. Ciudad de México..
Hospital Infantil de México Federico Gómez. Cirugía Neonatal. Ciudad de México. México .
An Sist Sanit Navar. 2025 Feb 13;48(1):e1098. doi: 10.23938/ASSN.1098.
Gastroschisis is a congenital malformation characterized by a visceral hernia and is one of the leading causes of short bowel syndrome in pediatric patients. This condition can result from congenital short bowel, but may also arise due to complications associated with the management of the abdominal wall defect. We present the case of a full-term newborn with simple gastroschisis who developed multiple gastrointestinal complications during initial management and was subsequently referred to our institution. On admission, the patient exhibited an open, frozen abdomen, enteroatmospheric fistulas, and loss of abdominal domain. Over the course of three months, various combined techniques were used, including primary intestinal sutures, jejunostomies with distal stoma feedback, botulinum toxin injections, and the construction of a polypropylene silo, with adjustments made based on the evolving complications. Ultimately, complete abdominal reconstruction was achieved. The patient's recovery was favorable, and he was discharged at five months of age with oral tolerance and appropriate weight and height gain.
腹裂是一种以内脏疝为特征的先天性畸形，是儿科患者短肠综合征的主要原因之一。这种情况可能由先天性短肠引起，但也可能由于腹壁缺损处理相关的并发症而出现。我们报告一例足月新生儿单纯性腹裂病例，该患儿在初始治疗期间出现多种胃肠道并发症，随后转诊至我院。入院时，患者表现为开放性、冰冻样腹部、肠气瘘和腹部容积丧失。在三个月的病程中，采用了多种联合技术，包括一期肠缝合、带远端造口反馈的空肠造口术、肉毒杆菌毒素注射以及聚丙烯袋的构建，并根据不断出现的并发症进行调整。最终实现了完全的腹部重建。患者恢复良好，五个月大时出院，口服耐受良好，体重和身高增长正常。
