Premium
Secondary bladder herniation in isolated gastroschisis justifies increased surveillance
Author(s) -
Mousty E.,
Chalouhi G. E.,
Sabbagh A. El,
Khen–Dunlop N.,
Kuleva M.,
Salomon L. J.,
Ville Y.
Publication year - 2012
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.3928
Subject(s) - gastroschisis , medicine , pregnancy , fetus , biology , genetics
Objectives To assess the perinatal outcome of fetuses with gastroschisis complicated by secondary bladder herniation. Population and materials This was a retrospective study of all cases of isolated gastroschisis associated with bladder herniation managed at our institution. Prenatal ultrasound, obstetrical and perinatal information were collected. Pathology reports were also gathered. Results Out of 105 cases of gastroschisis managed at our institution, six (5.7%) were associated with secondary bladder herniation, two of them being diagnosed postnatally. Median gestational age at diagnosis of bladder herniation was 33.6 weeks (range 31–36) in five female and one male fetuses. Bladder herniation was associated with bowel dilatation in four cases (67%) and with pyelic dilatation in one case (17%). Despite increased surveillance, one male fetus died in utero . In four other cases, cesarean section was performed for fetal distress (three cases) or hyperechogenic bowels (one case). The five survivors had primary abdominal closure ( n = 2) or staged repair ( n = 3) with uneventful follow‐up. Conclusion Bladder herniation was present in 6% of apparently isolated gastroschisis. There was one intrauterine fetal death and four other cases were delivered for fetal distress. Increased surveillance seems justified. © 2012 John Wiley & Sons, Ltd.