Mouhammed Sleiay, Abdulrahman A Othman, Mais A B Mohaisen, Bilal Sleiay, Hasan Alsmoudi, Mohammad A Abshi, Ahmad Buz, Ahmed Merza, Hadi Alabdullah, Mohammad B Fansa, Feras Alharroush
{"title":"A 36-week preterm newborn with gastroschisis: a rare case report.","authors":"Mouhammed Sleiay, Abdulrahman A Othman, Mais A B Mohaisen, Bilal Sleiay, Hasan Alsmoudi, Mohammad A Abshi, Ahmad Buz, Ahmed Merza, Hadi Alabdullah, Mohammad B Fansa, Feras Alharroush","doi":"10.1093/jscr/rjaf234","DOIUrl":null,"url":null,"abstract":"<p><p>This case report presents a preterm infant (36 weeks) with gastroschisis, successfully treated using a two-stage surgical approach. The newborn exhibited evisceration of the stomach and small intestine through a small umbilical defect, with significant edema but no additional anomalies. Due to the severity of the edema and limited abdominal capacity, a staged repair was planned. The first stage involved repositioning the stomach and duodenum into the abdominal cavity. In the second stage, the remaining bowel was placed in a sterile sac suspended above the incubator, allowing gradual reduction over 2 days. Enteral nutrition was initiated after 1 week. The approach resulted in a smooth recovery without complications, suture failure, or incisional hernia. This case highlights the importance of meticulous surgical planning in improving outcomes for neonates with complex conditions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf234"},"PeriodicalIF":0.4000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017387/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jscr/rjaf234","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
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Abstract
This case report presents a preterm infant (36 weeks) with gastroschisis, successfully treated using a two-stage surgical approach. The newborn exhibited evisceration of the stomach and small intestine through a small umbilical defect, with significant edema but no additional anomalies. Due to the severity of the edema and limited abdominal capacity, a staged repair was planned. The first stage involved repositioning the stomach and duodenum into the abdominal cavity. In the second stage, the remaining bowel was placed in a sterile sac suspended above the incubator, allowing gradual reduction over 2 days. Enteral nutrition was initiated after 1 week. The approach resulted in a smooth recovery without complications, suture failure, or incisional hernia. This case highlights the importance of meticulous surgical planning in improving outcomes for neonates with complex conditions.
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