Herniated Fallopian Tube in a Female Neonate with Gastroschisis

Case Presentation

Female neonate of 37+5 weeks gestation with prenatally diagnosed gastroschisis after initial induction of labor and secondary c-section due to non-reassuring heart sounds. Vigorous newborn without need for invasive support. A sterile bag was placed over the herniated contents, and the patient was transferred to the operating room. During the initial surgical examination, a herniated Fallopian tube was noted through the abdominal wall defect ([Fig. 1]). The presence of other associated malformations was excluded. All herniated abdominal contents were reintroduced into the abdominal cavity and a primary closure of the defect was performed with good respiratory and hemodynamic tolerance. Intra-abdominal pressures were checked through a bladder catheter and were found to be in the normal range throughout the postoperative period. The patient is developing well, with adequate weight gain and no other symptoms.

Fig. 1 Preoperative picture of the parts herniating through the abdominal wall defect, including the intestinal bundle, stomach, and fallopian tube (white arrow and inset). No atresias or other malformations are identified.

Publication History

Article published online:
02 May 2022

• References

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