Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review

Abstract EN

Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate.

We report here a case of VG with a favorable outcome after a 3-year follow-up.

A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation.

The ultrasound evolution was marked by a progressive closure of the abdominal wall defect from 19-week gestation and the appearance of dilated intra-abdominal loops.

The child was born with a closed abdominal wall except a small remnant at the level of the former gastroschisis orifice.

Explorative laparotomy revealed extensive midgut atresia with only 50 cm of remaining midgut.

A jejunocolic anastomosis was performed.

The child is now 3 years old and has a favorable outcome with only 2 nights a week of parenteral nutrition.

A total of 39 cases of VG type D from Perrone et al.

classification are described in the literature from 1991 to 2019, among which 19 (48.7%) are alive at the time of publication but only 4 cases are described with a long-term follow-up of 3 years or more.

This is the fifth case described with a favorable evolution after 3-year follow-up.