{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T06:33:23Z","timestamp":1751610803961,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Gastroschisis is a rare congenital anomaly in which abdominal organs herniate through a defect in the abdominal wall. Managing gastroschisis in extremely low birth weight (ELBW) infants presents significant challenges because of their immature physiologies and increased risk of complications.<\/jats:p>\n                <jats:p>Case presentation: This report discusses the case of a female ELBW infant born via an emergency cesarean section at 29\u00a0weeks of gestation, weighing 768\u00a0g, who had a prenatal diagnosis of gastroschisis. Postnatal management included immediate surgical intervention using a hand-made silo manufactured from expanded polytetrafluoroethylene (ePTFE) sheets that were sutured to the patient\u2019s abdominal wall to accommodate her small abdominal cavity and preserve mesenteric blood flow. Necrotizing enterocolitis with bowel perforation emerged as a complication, which led to the excision of a 10\u00a0cm segment of the ileum and the creation of an ileostomy. The infant experienced insufficient weight gain and liver dysfunction. However, she was eventually discharged on day 142 of life, weighing 2774\u00a0g, on oral feeding, without significant complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case emphasizes how prematurity significantly affected the patient\u2019s clinical outcomes, and highlights the importance of individualized management strategies. Our experience demonstrates that custom silo placement allows for the size to be adapted to the abdominal defect, and highlights the critical need to prioritize postnatal bowel perfusion in ELBW infants with gastroschisis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02028-z","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T03:32:11Z","timestamp":1728444731000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of gastroschisis in an extremely low birth weight infant: report of a case"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3412-586X","authenticated-orcid":false,"given":"Noboru","family":"Oyachi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuminori","family":"Numano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamao","family":"Shinohara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Murakami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nemoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Naito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"2028_CR1","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1053\/j.sempedsurg.2018.08.005","volume":"27","author":"S Beaudoin","year":"2018","unstructured":"Beaudoin S. Insights into the etiology and embryology of gastroschisis. Semin Pediatr Surg. 2018;27:283\u20138.","journal-title":"Semin Pediatr Surg"},{"key":"2028_CR2","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.jss.2019.07.065","volume":"245","author":"SL Raymond","year":"2020","unstructured":"Raymond SL, Hawkins RB, St Peter SD, Downard CD, Qureshi FG, Renaud E, Danielson PD, et al. Predicting morbidity and mortality in neonates born with gastroschisis. J Surg Res. 2020;245:217\u201324.","journal-title":"J Surg Res"},{"key":"2028_CR3","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1007\/s00383-018-4308-3","volume":"34","author":"P Bhatt","year":"2018","unstructured":"Bhatt P, Lekshminarayanan A, Donda K, Dapaah-Siakwan F, Thakkar B, Parat S, et al. Trends in incidence and outcomes of gastroschisis in the United States: analysis of the national inpatient sample 2010\u20132014. Pediatr Surg Int. 2018;34:919\u201329.","journal-title":"Pediatr Surg Int"},{"key":"2028_CR4","doi-asserted-by":"publisher","first-page":"1274","DOI":"10.1016\/j.jpedsurg.2011.02.057","volume":"46","author":"S Johnson","year":"2011","unstructured":"Johnson S, Kimball S. Gastroschisis and extreme prematurity: a report of two survivors. J Pediatr Surg. 2011;46:1274\u20136.","journal-title":"J Pediatr Surg"},{"key":"2028_CR5","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1159\/000510270","volume":"117","author":"DF Labuz","year":"2020","unstructured":"Labuz DF, Asch MJ, Buchmiller TL. Use of cadaveric skin graft for staged gastroschisis repair in a premature infant. Neonatology. 2020;117:771\u20135.","journal-title":"Neonatology"},{"key":"2028_CR6","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-024-01974-8","author":"CP Pugh","year":"2024","unstructured":"Pugh CP, Zaniletti I, Miquel-Verges F, Nghiem-Rao TH, Downey LC, Hightower H, et al. A multicenter matched-cohort analysis of gastroschisis outcomes in infants born before 32\u00a0weeks gestation. J Perinatol. 2024. https:\/\/doi.org\/10.1038\/s41372-024-01974-8.","journal-title":"J Perinatol"},{"key":"2028_CR7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/0022-3468(69)90177-8","volume":"4","author":"RG Allen","year":"1969","unstructured":"Allen RG, Wrenn EL Jr. Silon as a sac in the treatment of omphalocele and gastroschisis. J Pediatr Surg. 1969;4:3\u20138.","journal-title":"J Pediatr Surg"},{"key":"2028_CR8","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1055\/s-0042-1744510","volume":"41","author":"S Riddle","year":"2024","unstructured":"Riddle S, Acharya K, Agarwal N, Ahmad I, Bendel-Stenzel E, Shepherd J, et al. Gestational age at delivery and neonatal outcomes among Infants with gastroschisis in the children\u2019s hospitals neonatal consortium (CHNC). Am J Perinatol. 2024;41:756\u201363.","journal-title":"Am J Perinatol"},{"key":"2028_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2021.102135","volume":"76","author":"S Negash","year":"2022","unstructured":"Negash S, Temesgen F. Primary closure of gastroschisis aided by ileostomy: a new management approach for low resource settings. J Pediatr Surg Case Rep. 2022;76: 102135.","journal-title":"J Pediatr Surg Case Rep"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02028-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02028-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02028-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T03:36:24Z","timestamp":1728444984000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02028-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2028"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02028-z","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,10,9]]},"assertion":[{"value":"21 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient's family for the publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that there are no competing interests regarding the publication of this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"235"}}