Omphalocele

Case contributed by David Ndegwa
Diagnosis certain

Presentation

Patient is referred for an obstetric ultrasound at term.

Patient Data

Age: 30 years
Gender: Female
ultrasound

An anterior abdominal wall defect is seen with herniation of abdominal contents; stomach, bowels and liver into a membrane covered sac.

Baby's photo after delivery.

Photo

Post-partum photo of the baby a few hours later after vaginal delivery shows the anterior abdominal wall defect as seen on ultrasound.

Consent obtained to share image.

Illustrated image

ultrasound

Illustrated image showing normal abdominal wall outline and the membrane-covered defect.

Case Discussion

Omphalocele is a congenital mid-line wall defect through which abdominal viscera herniate into a membrane-covered sac. It has been suggested that the formation of an omphalocele may be due to failure of the two lateral embryonic wall folds to fuse during embryologic development at 3-4 weeks. Due to the higher likelihood of related anomalies, smaller omphaloceles are believed to have a worse prognosis.

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