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Articles » Gastrointestinal anomalies, spleen & abdominal wall » Omphalocele

2006-04-11-15 Omphalocele © Cuillier www.thefetus.net/


Omphalocele

Cuillier F,MD*, Kha G, MD**, Michel JL, MD***, Pilorget H, MD****

* Department of Gynecology, Hôpital Félix Guyon ** Gynecologist, Saint Clothilde Institut *** Department of Pediatric Surgery, Hôpital Félix Guyon *** Department of Neonatology, Hôpital Félix Guyon, Réunion Islland, France.

 

Case report: This is a 30-year-old woman with no family history of malformation or genetics disorders. She was referred to our unit at 21 weeks, due to an omphalocele. The first scan performed at 11 weeks was normal. The first trimester screening was also normal (the triple test and the nuchal translucency) was also normal. At 16 weeks, an amniocentesis was performed (46 XX). Ultrasound scan at 21 weeks revealed no polyhydramnios. The fetal movement seemed normal. There were no associated anomalies. The omphalocele contained part of liver and bowels. The repeat scan performed at 26, 28 and 32  weeks did not reveal any complications. Nevertheless at 32 weeks, a cesarean section was performed due to maternal preeclampsia. The baby weight was 2700g.

On the first day, the baby was hospitalized in neonatal unit. An external compression with traction of the omphalocele was done. The body wall traction was performed during two days. In the third day, a banding was repairing. The omphalocele was regressing. There were no hemodynamic or respiratory complications. At day four, an abdominal surgery was done in one step, without any complication. A 5 cm defect was still there. The omphalocele surgery was done with appendectomy. The postoperative follow up was strictly normal.



Sagittal view showing the omphalocele at 21 weeks



Frontal 3D view showing the omphalocele at 21 weeks



Transverse view showing the omphalocele at 25 weeks



Sagittal 3D view showing the omphalocele at 25 weeks



Transverse view showing the omphalocele at 25 weeks (left image) and 28 weeks (right image)



Transverse view showing the omphalocele at 25 weeks


Transverse 3D view showing the omphalocele at 28 weeks



Coronal 3D view showing the omphalocele at 32 weeks



Postnatal view of the omphalocele just after the cesarean



Postnatal view showing the landing omphalocele at day one



Postnatal view showing the landing and compressing omphalocele at day three



Post-surgery view of the abdominal wall


 

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