Gastroschisis in one twin neonate with extracorporeal liver

Kayla Hudson; Krista L Birkemeier; Hayden Stagg; Steven R Allen

doi:10.1080/08998280.2021.1941686

Gastroschisis in one twin neonate with extracorporeal liver

Proc (Bayl Univ Med Cent). 2021 Jul 23;34(6):691-692. doi: 10.1080/08998280.2021.1941686. eCollection 2021.

Authors

Kayla Hudson¹, Krista L Birkemeier², Hayden Stagg³, Steven R Allen⁴

Affiliations

¹ College of Medicine, Texas A&M Health Science Center, Temple, Texas.
² Department of Radiology, Baylor Scott & White Medical Center, Temple, Texas.
³ Department of Surgery, Baylor Scott & White Medical Center, Temple, Texas.
⁴ Department of Obstetrics and Gynecology, Baylor Scott & White Medical Center, Temple, Texas.

Abstract

We report a rare case of gastroschisis with extracorporeal liver suspected on late first trimester ultrasound and confirmed with second trimester ultrasound and magnetic resonance imaging in one fetus in a twin pregnancy. Liver herniation is common in omphalocele, a membrane-covered abdominal wall defect associated with other congenital anomalies. However, it is highly uncommon in gastroschisis, an uncovered abdominal wall defect aside of the cord insertion. Presence of liver herniation complicates prenatal differentiation between omphalocele and gastroschisis. The twins were born at 31 weeks' gestation due to preterm labor. The baby was treated with a silo device, followed by biologic mesh and a wound vac with instillation of fluid to prevent desiccation. Ultimately, the baby died of sepsis, with multiorgan failure and polymicrobial infection.

Keywords: Gastroschisis; giant gastroschisis; liver herniation; ruptured omphalocele.

Publication types

Case Reports