Gastroschisis associated with bladder evisceration complicated by hydronephrosis presenting antenatally

We report here a case of gastroschisis associated with bladder evisceration and complicated by rapidly developing hydronephrosis diagnosed antenatally . The timing of delivery was determined by the hydronephrosis, associated b owel dilatation and polyhydramnios. The case highlights the need for contin uing ultrasonographic surveillance of fetuses with gastroschisis to identif y further associated complications which were hitherto absent but whose pre sence may influence the timing of delivery and neonatal care.