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Gastroschisis

1958; Elsevier BV; Volume: 96; Issue: 5 Linguagem: Inglês

10.1016/0002-9610(58)90471-9

1879-1883

Robert L. Simpson, Harold D. Caylor,

Clinical Nutrition and Gastroenterology

Two cases of gastroschisis are presented. Both were operated upon, one survived. This rare congenital anomaly is described as congenital evisceration through an extraumbilical defect in the anterior abdominal wall. Since there is no protective covering membrane the eviscerated bowels form a tightly adherent, discolored, thickened mass. Fourteen cases fulfilling the criteria outlined by Moore and Stokes have previously been presented in the literature. Surgical repair was attempted in twelve; seven survived. Our two cases bring the total number of reported cases of gastroschisis to sixteen and the total surviving to eight. It appears desirable to close the abdominal wall primarily in cases of gastroschisis in which there is minimal disproportion between the eviscerated mass and the size of the abdominal cavity. However, there is usually marked disproportion between the coelomic cavity and its eventrated contents, because the volume of the viscera is larger than the capacity of the abdominal cavity. The method advocated by Gross for the repair of large omphaloceles, namely, covering the defect with skin only, seems to be an extremely useful device when primary routine closure is not possible.