Gastroschisis: To cut or not to cut?

PURPOSE:To present a rare case of gastroschisis with bowel adherent to the placenta that resulted in the loss of the majority of the infant's large bowel.The goal is to provide insight into possible limitations of antenatal imaging in predicting outcome and prognosis as well as to further guide counseling and set expectations for patients. CASE REPORT:A 29 yo G2P1001 was transferred to our MFM service after being diagnosed with fetal gastroschisis.Routine antenatal surveillance was performed including antenatal testing and growth ultrasounds.The fetus was noted to have no additional complications due to gastroschisis and was normally grown.The patient had a low risk NIPT and elevated MSAFP.Delivery was planned for 37 weeks per routine obstetric protocol.