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.
Key Words
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Article info
Publication history
Published online: May 03, 2018
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
