|Antenatal scan of 17 weeks. Diagnosis please!|
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7%4 -30% of fetuses with gastroschisis can have an associated malformation. Associated anomalies related to the bowel herniation are motility dysfunction, intestinal atresia, and volvulus.
Karyotyping is usually not suggested because the incidence of chromosomal abnormalities is not greater than in the general population. Serial sonograms can be performed to screen for intra-uterine growth restriction, signs of bowel involvement and the involvement of other structures that might influence management and prognosis.
Although it appears
rational to deliver those fetuses by cesarean section to prevent bowel
injury, trauma to the exteriorized bowel can also occur during cesarean
section. Recently several reports demonstrated that there was not any
difference in outcome between vaginal delivery and elective caesarean
section. As such cesarean section should be performed for obstetrical