A 1-day-old female newborn presents with bowel loops visibly protruding through a defect to the right of the umbilicus. Vital signs show HR 145 bpm, RR 48/min, and temperature 36.8°C. The exposed bowel appears thickened and inflamed from amniotic fluid exposure, with no protective membranous covering. Abdominal examination reveals no hepatomegaly. Prenatal ultrasound documented the defect without polyhydramnios. Which of the following is the most likely diagnosis?
- A)Umbilical hernia
- B)GastroschisisGABARITO
- C)Omphalocele
- D)Meckel diverticulum
- E)Volvulus
Explicação
Gastroschisis is a paraumbilical abdominal wall defect with exposed bowel not covered by a sac and usually not associated with major chromosomal abnormalities. Ver explicação completa e trilha adaptativa →