Left-Sided Gastroschisis with Meckel’s Diverticulum: A Rare Presentation

A 1-day-old female baby, the product of spontaneous vaginal delivery weighing 2.0 kg and delivered to 22 years old primipara, presented to the emergency room with evisceration of intestine from abdomen. Prenatally she was diagnosed with gastroschisis. On examination, defect was about 2 cm × 0.5 cm in size on the left side of umbilicus with evisceration of intestine. The eviscerated bowel was oedematous and dusky in colour. Patient was stabilised by putting him in warmer, oxygen supply and adequate intravenous fluids. After stabilisation patient was shifted to the operation theatre. Midline upper abdominal incision was extended to the defect laterally on left side. Intraoperative findings showed presence of Meckel’s diverticulum and there was no distinction between large and small bowel. There was no situs inversus. Mechanical stretching of anterior abdominal wall was done. The eviscerated bowel was reduced into the abdominal cavity. Skin closure of the defect was performed. Postoperative recovery was uneventful.