Resumen

CONTRERAS, J. Artemio et al. GASTROSCHISIS WITH PRIMARY CLOSURE: CASE REPORT. Rev. Méd. La Paz [online]. 2025, vol.31, n.1, pp.21-24.  Epub 30-Jun-2025. ISSN 1726-8958.

Gastroschisis is a defect of the ventral wall with visceral protrusion of the right side which is not covered by membranes, with an incidence of 4.5 to 5per 10,000 live births. The objective of this case report is to identify the complexity criteria to predict a simple or complex gastroschisis and its prediction to perform primary closure. A 17-year-old primigestational patient was attended, fetus with gastroschisis diagnosed since the first trimester of pregnancy, attended for resolution of pregnancy in third trimester with labor in latent phase, as relevant findings in the ultrasound were found Intrauterine Growth Restriction (IUGR) type 1 and a ventral defect of 20 mm with intestinal prolapse, thickening of 2 mm and distension of 28 mm, without complexity criteria. Kerr cesarean section was performed, obtaining a newborn with intestinal prolapse without ischemia, primary closure was performed with SIMIL.EXIT technique. It is important to perform a timely prenatal diagnosis in patients with gastroschisis and to identify the complexity criteria to predict the type of closure of the defect in conjunction with pediatric surgery and to have a better prognosis for the newborn.

Palabras clave : Gastroschisis; intestinal prolapse; prenatal diagnosis.

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