A full-term newborn presents with visible loops of small bowel protruding through a defect in the anterior abdominal wall just lateral to the umbilicus without membranous coverage. Vital signs show HR 145/min, RR 48/min, temp 36.8°C. Abdominal examination reveals exposed bowel loops without peritoneal sac. Prenatal ultrasound demonstrated normal amniotic fluid volume. Laboratory studies show normal liver function tests. Which of the following is the most likely diagnosis?
- A)Omphalocele
- B)Meckel diverticulum
- C)Diaphragmatic hernia
- D)GastroschisisGABARITO
- E)Umbilical hernia
Explicação
Gastroschisis is an abdominal wall defect caused by failure of the lateral body folds to close, leading to extrusion of bowel lateral to the umbilicus without a covering sac. Unlike omphalocele, it is usually not associated with chromosomal syndromes. Ver explicação completa e trilha adaptativa →