A FOETAL STUDY FOR CONGENITAL ANTERIOR ABDOMINAL WALL DEFECTS

Dr. S. Muralikrishna, Dr. A. Himabindu, Dr. Ameena

Abstract


Omphalocele and gastroschisis are congenital abdominal wall defects due to improper fusion of embryonic folds during intraembryonic period. Due to this abdominal content will protrude through the defect leading to foetal mortality and morbidity. The present study explained a case of omphalocele and a rare left sided gastroschisis in the foetuses collected from Victoria general hospital and Gitam institute of medical sciences and research, Visakhapatnam. Omphalocele is associated with chromosomal anomalies but gastroschisis is an isolated condition. The embryological explanation for omphalocele is improper fusion of embryonic folds but the reason for left sided gastroschisis is early degeneration of left umbilical vein. Maternal infections, medications and smoking habits act as a predisposing factor for these conditions. Recent medical advances and neonatal care decreasing the incidence and morbidity of these congenital abnormalities


Keywords


Omphalocele and gastroschisis are congenital abdominal wall defects due to improper fusion of embryonic folds during intraembryonic period. Due to this abdominal content will protrude through the defect leading to foetal mortality and morbidity. The prese

Full Text:

PDF

References


James GG. “Prognosis and Management of omphalocele and gastroschisis”. J Pedia Surg, 2007;10(4): 85-88.

Stevenson RE, Hall JG, Goodman RM. Omphalocele and gastroschisis. In: Stevenson RE, Hall JG, Goodman RM, editors. Human malformations and related anomalies. Oxford: Oxford University Press; 1993: 879–882.

Brantberg A, Blaas HG, Haugen SE, et al. Characteristics and outcome of 90cases of fetal omphalocele. Ultrasound Obstet Gynecol 2005; 26:527-37.

Marcelo Francetich Nam,Julianna Sayuri Kaneko,Priscila Marques Intelizano,Rita Medeiros Ferreira,Natalia Meijas OliveiraMaria Julia Mendonça,Adriana Orsetti Goularth,Luis Felipe Araújo Campos,Roberto Antonio Mastro . Left-sided gastroschisis associated with situs inversus totalis Journal of Pediatric Surgery case reports 28 (2018) 6-8

Suver D, Lee SL, Shekherdimian S. Left-sided gastroschisis: higher incidence of extra-intestinal congenital anomalies. Am J Surg. 2008; 195:663–6.

Kluck P, Tibboel D, van der Kamp AWM, Molenaar JC. The effect of fetal urine on the development of the bowel in gastroschisis.J Pediatr Surg 1983;18:47-50

Feldkamp ML, Carey JC, Sadler TW. Development of gastroschisis: review of hypotheses, a novel hypothesis, and implications for research. Am J Med Genet 2007;143:639-52.

Stevenson RE, Rogers RC, Chandler JC, et al. Escape of the yolk sac: a hypothesis to explain the embryogenesis of gastroschisis. Clin Genet 2009; 75:326-33.

Feldkamp ML, Carey JC, Sadler TW. Development of gastroschisis: review of hypotheses, a novel hypothesis, and implications for research. Am J Med Genet. 2007; 143: 639–52.

Mandelia A, Agarwala S, Sharma N, Solanki S, Panda S. Left- sided gastro-schisis: a rare congenital anomaly. J Clin Diagn Res 2013; 7:2300-2.

Christison-Lagay ER1, Kelleher CM, Langer JC. Neonatal abdominal wall defects. Seminar in Fetal Neonatal Med. 2011 Jun;16(3):164-72.


Refbacks

  • There are currently no refbacks.