The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis.

Abstract:

BACKGROUND:Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair. CASE:A 15-year-old nulliparous female patient presented with abdominal pain with a history of gastroschisis requiring 4 surgeries in infancy. Computed tomography scan showed an ovary located in the right upper quadrant, which was concerning for torsion. She was taken for a laparotomy with right oophorectomy after conservative management had failed. SUMMARY AND CONCLUSION:Long-term gynecologic outcomes of patients with gastroschisis are not well documented. Because gastroschisis patients are known to have abdominal pain later in life, this case shows that the differential diagnosis should include etiologies beyond the gastrointestinal tract.

authors

Edwards R,McCagg J,Chirico P,Yoost J

doi

10.1016/j.jpag.2018.04.005

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

540-542

issue

5

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(18)30208-0

journal_volume

31

pub_type

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