First trimester diagnosis of fetal gastroschisis, case report and literature revisión
DOI:
https://doi.org/10.53903/01212095.382Keywords:
Gastroschisis, Ultrasonography, Abdominal wall, Prenatal diagnosisAbstract
The spectrum of fetal abdominal wall defects includes omphalocele, gastroschisis, pentalogy of Cantrell, bladder and cloacal exstrophy, among others. These pathologies are usually diagnosed during second-trimester ultrasounds, generally during the anatomical detail sonogram performed
between 20 and 24 weeks. However, careful assessment by the sonographer, starting in the embryonic phase, allows for the detection of these anomalies in the first trimester. It is important to differentiate the main morphological characteristics of these wall defects, since the suggestion of any of them as a diagnosis entails a chain of decision-making, involving the medical team and the expectant parents. Below, a case of gastroschisis in a primiparous woman who came for a first-trimester screening ultrasound is presented. The imaging findings were unequivocal and typical of the condition, which allowed for an early diagnosis and the decision-making considered pertinent by the parents.
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