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Gastroschisis — RACP Paediatrics MCQ

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EasyNeonatalGastroschisisRACP Paediatrics

A newborn has abdominal wall contents (intestine, stomach) protruding through a defect to the right of the umbilical cord. The bowel is not covered by a membrane and appears matted and oedematous. What is the most likely diagnosis?

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Correct answer: C — Gastroschisis

Evisceration of abdominal contents through a paraumbilical defect (usually right of the cord) WITHOUT a covering membrane is gastroschisis. The exposed bowel is at risk of hypothermia, fluid loss, infection, and ischaemia. Immediate management includes wrapping the bowel in cling film or a bowel bag, IV fluids, NG decompression, and surgical repair (primary closure or silo placement).

Reference: RCH Melbourne – 2023 – Abdominal Wall Defects CPG; RACP Paediatric Curriculum – Neonatology