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Gastroschisis and Bladder Herniation

Over the past decade, gastroschisis has become an antenatal diagnosis. Rarely, the bladder is found to be extracorporeal in the third trimester. Although there are several case reports, no case series exists to suggest the prognosis for these infants. Here, we present a case of bladder herniation in a fetus with gastroschisis and a literature review. The fetus presented in this case report was diagnosed at 18 weeks, at which time the bladder was in situ. At 34 weeks, the bladder had herniated through the abdominal wall defect. A review of the literature suggests that bladder herniation in right-sided gastroschisis is not associated with any additional long-term morbidity or mortality. The herniation typically develops between 30 and 35 weeks. Regardless of renal findings on sonography, these infants do well postoperatively. Interestingly, most cases occur in female infants.