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Case Reports
. 2025 Apr 23;2025(4):rjaf234.
doi: 10.1093/jscr/rjaf234. eCollection 2025 Apr.

A 36-week preterm newborn with gastroschisis: a rare case report

Mouhammed Sleiay  1 , Abdulrahman A Othman  2 , Mais A B Mohaisen  3 , Bilal Sleiay  1 , Hasan Alsmoudi  1 , Mohammad A Abshi  1 , Ahmad Buz  1 , Ahmed Merza  1 , Hadi Alabdullah  1 , Mohammad B Fansa  1 , Feras Alharroush  4
Affiliations
Case Reports

A 36-week preterm newborn with gastroschisis: a rare case report

Mouhammed Sleiay et al. J Surg Case Rep. .

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.

Keywords: abnormality; case report; gastroschisis; preterm infant; surgery; ultrasound.

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Conflict of interest statement

No conflict of interest.

Figures

Figure 1
Figure 1
Evisceration of the stomach and small bowel.
Figure 2
Figure 2
The gastroschisis contents were covered with a sterile sac.
Figure 3
Figure 3
A careful and staged reduction of the herniated bowel was successfully conducted.
See this image and copyright information in PMC

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