Unidada Obstetrica Qururgica de Acapulco. Hospital General de la S. S. A. Acapulco, Instituto Mexicano de Diagnostico por I. Facultad de Medicina-de la Universidad Autonoma de Guerrero, Mexico.

Synonyms

Paromphalocele, laparoschisis, abdominoschisis.

Definition

Gastroschisis is a paraumbilical defect involving all the layers of the abdominal wall, with evisceration of abdominal organs, usually the small bowel, on occasion large bowel and stomach. Herniated abdominal content is not surrounded by a membrane.

A 23-year-old G1P0 presented to our department at 34th week of pregnancy. We discovered a male fetus with right-sided gastroschisis. No other anomalies were seen. These are some of the pictures we obtained.

Images 1, 2. Transverse plane through the thorax with the free loops of bowels in the amniotic cavity (left); and free loops of bowels in the amniotic cavity (right).

Image 3. Color Doppler transverse abdominal scan at the level of the urinary bladder showing umbilical arteries entering the abdomen and free loops of bowels inside the amniotic cavity.