Gastroschisis

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Figer-1

📄 Report Sample Line- Gastroschisis (During First Trimester / NT Screening)
Paraumbilical right-sided abdominal wall defect identified, with free-floating bowel loops herniating directly into the amniotic cavity without a surrounding membrane. The umbilical cord inserts normally adjacent to the defect.


Conclussion: 📋 Sonographic features are diagnostic of Gastroschisi
Recommendation: Follow-up with serial growth scans and assessment of bowel appearance.

Note: Select English to answer in English, या हिंदी चुनें तो प्रश्नों के उत्तर हिंदी में दीजिए।

1. What is gastroschisis? 1. गैस्ट्रोस्काइसिस क्या है?
A. Full-thickness abdominal wall defect with evisceration of bowel without a covering sac
B. Herniation of viscera into an intact umbilical cord covered by sac (omphalocele)
C. Neural tube defect
D. Placental abnormality

2. Typical location of the abdominal wall defect in gastroschisis is: 2. गैस्ट्रोस्काइसिस में दीवार दोष का सामान्य स्थान कहाँ होता है?
A. Usually to the right of the umbilicus
B. Midline covered by sac
C. Left thigh
D. Umbilical cord only

3. Prenatal ultrasound finding that suggests gastroschisis is: 3. गर्भकालीन अल्ट्रासाउंड पर कौन सा संकेत गैस्ट्रोस्काइसिस का सुझाव देता है?
A. Free-floating bowel loops in the amniotic cavity with normal cord insertion
B. Herniated liver within a sac at the base of the cord
C. Intracranial cysts only
D. Placental abruption

4. How does gastroschisis differ from omphalocele? 4. गैस्ट्रोस्काइसिस और ऑम्फालोसेल में मुख्य अंतर क्या है?
A. Gastroschisis has no covering sac and is usually right of umbilicus; omphalocele has membranous sac and midline defect at cord insertion
B. Gastroschisis always has liver only
C. They are identical conditions
D. Omphalocele is always to the right of the cord

5. Common associated anomalies with gastroschisis are: 5. गैस्ट्रोस्काइसिस के साथ आम तौर पर कौन सी जुड़ी हुई असामान्यताएँ पाई जाती हैं?
A. Usually isolated; may have intestinal atresia or bowel compromise but fewer major chromosomal anomalies than omphalocele
B. Always major congenital heart disease
C. Always neural tube defects
D. Always placental tumors

6. Prenatal management of gastroschisis includes: 6. गैस्ट्रोस्काइसिस का गर्भकालीन प्रबंधन क्या शामिल करता है?
A. Serial ultrasound to monitor growth and bowel appearance; plan delivery at tertiary center with neonatal surgery
B. Immediate fetal surgery in all cases
C. No surveillance required
D. Routine cesarean at 28 weeks always

7. Which delivery approach is generally recommended for gastroschisis? 7. गैस्ट्रोस्काइसिस के लिए आम तौर पर किस प्रकार की डिलीवरी सुझाई जाती है?
A. Aim for term vaginal delivery at a center with neonatal surgical support unless obstetric indications for cesarean exist
B. Mandatory immediate cesarean in all cases
C. Home birth recommended
D. Immediate induction at 32 weeks always

8. Postnatal primary concerns for babies with gastroschisis are: 8. गैस्ट्रोस्काइसिस वाले नवजात शिशुओं के लिए जन्मोपरांत प्रमुख चिंताएँ क्या हैं?
A. Fluid and heat loss, infection risk, bowel injury/atresia and need for staged surgical closure
B. Immediate neurological surgery
C. No special care required
D. Placental removal only

9. Which ultrasound feature suggests bowel compromise in utero? 9. गर्भ में आंत्र (बाउल) की समस्या का संकेत देने वाला कौन सा अल्ट्रासाउंड लक्षण है?
A. Dilated, thick-walled, or echogenic bowel loops and ascites
B. Normal-looking free-floating bowel only
C. Increased femur length only
D. Placental calcifications only

10. Long-term prognosis for isolated gastroschisis after surgical repair is generally: 10. शल्य क्रिया के बाद अलग-थलग गैस्ट्रोस्काइसिस का दीर्घकालिक पूर्वानुमान सामान्यतः कैसा होता है?
A. Generally good with appropriate neonatal care and surgical management, though prolonged neonatal course may occur
B. Always fatal
C. Always results in severe neurodevelopmental disability
D. No surgery available