Prikaz slučaja novorođenčeta s gastroshizom i duplikaturom žučnog mjehura

Scientific paper - Case study

• Title (english): Case report: Duplication of gallbladder in a newborn with gastroschisis
• Author: Tomislav Bruketa
• Author: Anko Antabak
• Author: Stanko Ćavar
• Author: Jurica Vuković
• Author's institution: University of Zagreb; School of Medicine; (Department of Surgery)
• Author's institution: University of Zagreb; School of Medicine; (Department of Pediatrics)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Pediatrics

Abstract (croatian)

Gastroshiza je defekt trbušne stijenke kroz koji protrudiraju trbušni organi i često je udružena s drugim
malformacijama. Najčešće se radi o crijevnim (tri četvrtine), rjeđe ju prate urološke, srčane i malformacije ekstrahepatičkog
bilijarnog stabla. Duplikature žučnog mjehura u općoj populaciji su relativno rijetke i javljaju se 1 na
3000–4000. U ovom prikazu slučaja prezentirat ćemo slučaj novorođenčeta s gastroshizom udruženom s duplikaturom
žučnog mjehura. Kod novorođenčeta je pronađena kompletna duplikatura žučnog mjehura s dva odvojena
duktusa cistikusa (tip 2 po Boydenu). Smjernica za postupak kod duplikature žučnog mjehura u novorođenčadi s
gastroshizom nema, mi smo postupili po smjernicama za duplikaturu žučnog mjehura u općoj populaciji. Duplikature
žučnog mjehura udružene s gastroshizom ne zahtijevaju aktivno kirurško liječenje ako nisu simptomatske
ili ako ne postoji druga malformacija bilijarnog sustava.

Abstract (english)

Gastroschisis is a defect of the anterior abdominal wall through which viscera can protrude, and can
be followed by additional malformations. Three quarters of the gastroschisis malformations are confined to the
midgut. Other malformations are urologic and cardiac malformations and malformations of extrahepatic biliary
tract. Duplication of gallbladder in general population is relatively rare, occurring once in every 3,000 to 4,000.In
this case report we will present a case of an infant with gastroschisis accompanied with the duplication of
gallbladder.
In the newborn a complete duplication of gallbladder was found with two separate cystic ducts, i.e.
type 2 by Boyden. Since the guidelines for duplication of the gallbladder associated with gastroschisis do not exist,
we acted according to the guidelines for duplication of the gallbladder in the general population, i.e. nonsurgical
intervention was performed on the biliary tree. Duplications of the gallbladder associated with gastroschisis do
not require active surgical treatment, unless they are symptomatic or if there is other malformation of the biliary
system.

• Keywords (croatian): TRBUŠNA STIJENKA – anomalije, kirurgija; GASTROSHIZA – kirurgija; ŽUČNI MJEHUR – anomalije; NOVOROĐENČE
• Keywords (english): ABDOMINAL WALL – abnormalities, surgery; GASTROSCHISIS – surgery; GALLBLADDER – abnormalities; INFANT, NEWBORN
• Language: croatian
• Publication type: Scientific paper - Case study
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 142, no. 7-8, pp. 215-217
• p-ISSN: 0024-3477
• e-ISSN: 1849-2177
• DOI: https://doi.org/10.26800/LV-142-7-8-35
• URN:NBN: urn:nbn:hr:105:325136
• Publication: 2020
• Document URL: https://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=353558
• Type of resource: Text
• Access conditions: Open access
• Created on: 2020-11-26 11:12:44