UNUSUAL COURSE OF FETAL GASTROSCHISIS

We report on prenatal diagnosis of gastroschisis at 20th gestational w eek. In addition to gastroschisis intraabdominal intestinal stenosis w as detected. As a consequence cesarian section was planned close to te rm. Control examinations in the last trimester didn't confirm initial diagnosis so that the recommended mode of delivery was changed. Howeve r postpartum diagnosis again confirmed the early diagnosis of gastrosc hisis including spontaneus necrosis of dislocated intraamniotic intest inal parts. The course demonstrates that even at unambigous prenatal d iagnosis control examinations are recommended as dynamic changes may o ccur in the second and third trimester. Thus mode of delivery may have to be adapted close to term to reduce maternal risk.