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Case Report

Fetal Gastroschisis: A Differential Diagnosis of Uterine Perforation

Savita Rani Singhal* , Suresh Kumar Singhal** , Ankita Agarwal*

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Indian Journal of Obstetrics and Gynecology 4(1):p 49-50, January - April 2016. | DOI: DOI: https://dx.doi.org/10.21088/ijog.2321.1636.4116.9

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Abstract

Gastroschisis is type of an abdominal wall defects, can be diagnosed in antenatal period with the help of an ultrasonic scan. However, routine ultrasonic scanning of all gravida is not possible due to lack of adequate facilities in some health centers in developing countries. Hence, a number of patients with fetal, abdominal wall defects are diagnosed only after the delivery In developing countries, especially in India it is not uncommon to see the patients presenting with gut loops lying in vagina or outside vagina in cases of abortions being managed by unskilled persons. If one sees intestines coming out in the vagina, the first possibility which is thought is of either the uterine perforation or rupture uterus. We report a rare case in which gastrochisis was confused with uterine rupture, due to presence of intestines in the vagina of the mother.

Keywords: Gastroschisis; Bowel Loops; Uterine Perforation.

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DOI: DOI: https://dx.doi.org/10.21088/ijog.2321.1636.4116.9

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