Purpose: We report a rare case of vanishing gastrochisis. With an incidence of 1:4000 Gastrochisis and Omphalocele are the most common congential abdominal wall defects. Gastrochisis is defined by an paraumbilical defect of the abdominal wall with protrusion of mainly intestine fetal organs.
Fragestellung: Im Rahmen dieser Zusammenstellung sollen anhand eigener und aus der Literatur gewonnenen Daten Trends bzgl. der diagnostischen Sicherheit, der Risikofaktoren und der Prognose von pränatal gesicherten Hirnblutungen herausgearbeitet werden.
Das Feto-Fetale Transfusionssyndrom (FFTS) ist eine zwillingsspezifische Schwangerschaftskomplikation, die wesentlichen Anteil an der erhöhten Abortrate, Morbidität und Mortalität bei Mehrlingen hat. Bei bis zu 20% aller monochorialen Gemini tritt das FFTS auf mit einer Mortalität bis zu 90% bei unbehandelten Fällen vor der 26. SSW.
Einleitung: Die Omphalozele ist eine der häufigsten kongenitalen Fehlbildungen, die oft mit chromosomalen Aberrationen und strukturellen Fehlbildungen assoziiert ist.
To determine in fetuses diagnosed with gastroschisis if sonographically identified intra-abdominal bowel dilatation is associated with intestinal complications of the neonate. Retrospective analysis of medical records and ultrasound data of cases diagnosed with gastroschisis from January 1993 to March 2007 at a tertiary referral unit. We identified 39 fetuses diagnosed with gastroschisis. Of these, only one had an abnormal karyotype (trisomy 18) and in four fetuses (10%) extra-gastrointestinal associated anomalies were diagnosed. Thirty-three pregnancies (85%) were delivered after the 24th week of gestation and two stillbirths occured (5.1%). Twenty-eight of the 39 fetuses (71.7%) had no intra-abdorminal bowel dilatation and in two of these 28 (7.1%) cases neonatal bowel atresia was diagnosed. 11/39 fetuses (28.2%) had progressive intra-abdominal bowel dilatation and in five of these fetuses the sonographic finding was present before the 28th gestational week. Eight of the 11 (72.7%) fetuses with intra-abdominal bowel dilatation had intestinal complications after birth. Intestinal atresia was diagnosed in five fetuses, in two neonates intestinal volvulus was present and one neonate had bowel rupture. Mortality rate was 7.9%, the main cause being sepsis secondary to bowel complications. Intra-abdominal bowel dilatation detected prenatally is associated with intestinal complications in the fetus with gastroschisism, and the possibility of intestinal atresia has to be considered whilst counseling parents.
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