Gastroschisis and arthrogryposis. Clinical case
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Keywords

Gastroschisis
Arthrogryposis Multiplex Congenita
Genetic
Genetic Disorder

How to Cite

1.
Fernández I. M, Aranda G. MJ, Trujillo A. A, Sánchez M. JM, Ortega G. JA, Canovas C. A, Sánchez S. M, Ruiz J. JI. Gastroschisis and arthrogryposis. Clinical case. Andes pediatr [Internet]. 2013 Oct. 9 [cited 2025 Sep. 12];84(5):545-9. Available from: https://andespediatrica.cl/index.php/rchped/article/view/3050

Abstract

Introduction: Gastroschisis is a congenital abdominal wall closure defect, usually to the right of the umbilical cord insertion. A variable amount of the intestine and occasionally other abdominal organs herniate outside of the abdominal wall without a covering membrane. Arthrogryposis Multiplex Congenital (AMC) consists of a group of rheumatic disorders characterized by multiple joint contractures that may affect back muscles and upper and lower extremities. 

Objective: To describe a rare association of these two birth defects. 

Case Report: Newborn with classical Gastroschisis; primary closure of the abdominal wall defect was performed in the first hours of life, with good results. At birth, Arthrogryposis in distal joints of both upper limbs and muscle atrophy associated with severe upper limb paresis were observed. 

Conclusions: It has recently been suggested that the association between Gastroschisis and AMC may be more common than previously described. Although the etiology of these conditions is unclear, the phenomenon that causes the disruption or stroke could explain the coexistence of both pathologies.

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