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GASTROSCHISIS WITH ATRESIA INTESTINAL IN NEWBORN
by dr Zico Paradigma - Sunday, 8 July 2018, 08:39 AM
 


ABSTRACT

Background : Gastroschisis is a rare congenital defect, which is characterized by abdominal organ prolapse through the small defect of the abdominal wall, usually localized to the right from the umbilicus. Untill today the exact cause and pathogenesis of gastroschisis remain unclear. Prolapsed organs can be small intestine, colon, liver, spleen, stomach, sometimes the ovaries. In most cases gasroschisis is an isolated defect. About 5-22% of infants born with gastroschisis will have associated anomalies of the digestive tract, such as atresia of the small intestines or colon and malrotation.
Case Description : We report a male, newborn, the patient is refferal of Amanah Ibu Hospital, with gastroschisis. A newborn male weighing 3000 g, was delivered aterm of gestation by caesarean section because of prolonged second stage of labour. The patient chief complain the small and large intestines exposed outside the body. The intestines are exposed outside with small defect on central abdominal wall, nearly located to the right of the umbilical. Because limited facilities, the patient was reffered to dr. Moewardi Hospital. Emergency defect clossure has been performed. In the intra operative, we found intestinal atresia.
Results: In this study the patient performed primary abdominal wall closure and colostomy is the most appropriate strategy
Conclusions: Intestinal atresia significantly increases morbidity and mortality, so surgeons are still debating about the best method for treating infants with gastroschisis and concomitant atresias. There is no per-fect and unique method, and treatment of colonic atresia can be quite challenging.
Key Words : Gastroschisis, intestinal atresia, primary abdominal wall closure-colostomy