Report of three cases of unusual anterior abdominal wall defects in Fallujah General Hospital during the year 2010
Abdominal wall defects occur when the normal sequence of the gastro intestinal tract development is interrupted. Gastroschisis represents a herniation of abdominal contents through a paramedian full-thickness abdominal wall fusion defect without involving the umbilical cord. Evisceration usually only contains intestinal loops and has no surrounding membrane unlike omphalocoele. It is unusual for a newborn with gastroschisis to have other serious birth defects. Neonates with gastroschisis have better prognosis than those with omphalocele. Very rarely is gastroschisis associated with herniation of other organs, and their presence makes the prognosis worse.
I report three cases of unusual anterior abdominal wall defects during the year 2010, each having specific associated abnormalities. One was stillborn, and the other two died shortly after delivery.
- Figure 2: Herniation of liver, stomach and small and large intestines through a full thickness abdominal defect
- Figure 1: Herniation of small and large intestine through a small right periumbilical wall defect with associated right thoracic cage abnormality
- Figure 3: Stillborn with ambiguous genitalia, scoliosis, pelvic bone abnormalities and equinovarus deformity of both feet in association with herniation of liver, spleen and small and large bowel through an abdominal wall defect.
- Mineral analysis of hair sample of mother of Case 1 child
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