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Stomach herniation prior to nonreassuring fetal status in a case of fetal gastroschisis
Author(s) -
Kojima Yuki,
Ozawa Katsusuke,
Sugibayashi Rika,
Wada Seiji,
Sago Haruhiko
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13662
Subject(s) - gastroschisis , medicine , fetus , stomach , abdominal wall defect , gestation , obstetrics , surgery , abdominal wall , pregnancy , genetics , biology
The neonatal prognosis in gastroschisis is generally good; however, intrauterine fetal death (IUFD) and nonreassuring fetal status (NRFS) sometimes occur in fetal cases of gastroschisis. Previously, we reported stomach herniation as a possible risk factor for IUFD or NRFS in fetuses with gastroschisis. We report a case of fetal gastroschisis showing stomach herniation and increased velocity of the umbilical venous (UV) flow the day before NRFS by electronic fetal monitoring (EFM). A 27‐year‐old pregnant woman was followed up from 16 weeks’ gestation due to fetal gastroschisis. At 33 + 1 weeks’ gestation, EFM displayed a reassuring fetal state, while the ultrasound examination revealed fetal stomach herniation and an increased flow velocity of the UV in the abdomen. One day later, EFM displayed NRFS, and the patient underwent emergency caesarean section. This case showed stomach herniation preceding the occurrence of NRFS. Stomach herniation may be a predictor of NRFS in fetuses with gastroschisis.