Surgical repair of gastroschisis complicated by tracheostenosis in a very premature infant
10.3760/cma.j.cn113903-20210708-00620
- VernacularTitle:极早产儿腹裂合并气管狭窄手术修复1例
- Author:
Fen DAI
1
;
Wenya XIAO
;
Lei XU
;
Yuhuan WANG
Author Information
1. 温州医科大学附属第二医院妇产科，温州 325000
- Keywords:
Gastroschisis;
Tracheal stenosis;
Reconstructive surgical procedures;
Abdomen;
Bronchoscopy;
Catheterization;
Dilatation;
Infant, extremely premature
- From:
Chinese Journal of Perinatal Medicine
2022;25(1):63-66
- CountryChina
- Language:Chinese
-
Abstract:
We describe the diagnosis and treatment of a very premature female infant with gastroschisis complicated by tracheostenosis. The pregnant woman, whose fetus was diagnosed with gastroschisis by ultrasound at 22 weeks in a local hospital, was admitted to the Second Affiliated Hospital of Wenzhou Medical University at 28 +1 weeks with oligohydramnios. Ultrasound after admission confirmed the previous diagnosis. A live baby girl was born by vaginal breech delivery at 29 +1 weeks after spontaneous rupture of the membranes. Because of the unstable oxygen saturation, the neonate finally received Silo in the delivery room prior to the closure of abdominal fissure 7 d after birth, and during the placement difficult endotracheal intubation was evident. She was diagnosed with having congenital tracheal stenosis via chest CT scans with 3-dimensional reconstruction 3 weeks after birth and received transbronchoscopic balloon dilatation at 3 months after birth. During the 2-year follow-up, she grew well without any complications.
