Background: Neonatal hyperglycaemia is a rare metabolic disorder. There are no reports of an association between
neonatal hyperglycaemia and gastroschisis.
Case presentation: This report presents preoperative and intraoperative management of blood sugar in a low birth
weight Thai preterm neonate with gastroschisis and a diagnosis of neonatal hyperglycaemia. The patient underwent
an emergency, multi-staged, surgical repair under general anaesthesia.
Conclusion: Anaesthesiologists should be aware of possible perioperative dysglycaemic conditions in these patients.
Proper timing of surgery and appropriate preanaesthetic preparation are necessary to reduce the morbidity and mortality
related to hyperglycaemia and gastroschisis.
Consent: The patient’s guardian has given consent for the case report to be published.
