Department of Gynecology, Hôpital Félix Guyon, 97400 Saint-Denis, Ile de la Réunion, France.

Case report

This is a case of  a 18 -year-old G1 P0 with unremarkable family or personal history. She was referred to our department at 27 weeks of gestation for a suspicion of a gastroschisis. It was diagnosed during the second trimester ultrasound scan performed at 20 weeks of gestation. The first trimester ultrasound scan did not show any abnormalities, NT was within the normal limits. Triple test was negative with a risk of 1:2000.

The ultrasound examination at 27 weeks confirmed gastroschisis. We did not found any other abnormalities. The karyotype of the fetus was normal, 46 XX. Ultrasound did not reveal any signs of meconium peritonitis.

Ultrasound examination at 31 weeks did not show any abnormal dilation of the intestine. The urinary bladder seemed to be outside of the abdomen as well. Subsequent ultrasound examinations at 32 and 35 weeks confirmed the location of the urinary bladder.

Patient delivered at 36 weeks of gestation via cesarean section. The examination of the neonate showed gastroschisis, urinary bladder, uterus and one ovary where outside of the abdomen, herniating via defect of the abdominal wall.

Surgery for gastroschisis repair was performed immediately after delivery.

Images 1,2: 27 weeks, images showing the bowel located outside of the abdomen due to a defect in the abdominal wall.

Images 3,4: Image 3 shows a dilation of the intestine. Image 4 show urinary bladder which was located outside of the abdomen.

Images 5,8: Images of the intestine and urinary bladder.

Images 9,10: 35 weeks, Image 9 shows urinary bladder and female genitalia. Image 10 shows urinary bladder.

Images 11: 35 weeks, small intestine located outside of the abdomen.

Images 12,13: MRI images, note the abdominal wall defect. Arrow on the image 13 shows a urinary bladder located outside of the abdomen.