Gastroschisis or exomphalos? An unusual abdominal defect.

BMJ Case Rep

Department of Paediatric Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Published: September 2021

A baby with an antenatal diagnosis of exomphalos was born at term. The abnormality had a highly unusual appearance, a right-sided paraumbilical defect, similar to gastroschisis, but with a sac typical of exomphalos containing both abdominal contents and over 1 L of serosanguinous fluid. The sac was drained and suspended from the top of the incubator in silo fashion. Definitive closure was achieved at day 3 of life, and the patient had a non-eventful recovery. Despite exomphalos and gastroschisis normally being discrete entities, ambiguity in the presentation this case necessitated a composite management approach.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438738PMC
http://dx.doi.org/10.1136/bcr-2021-242904DOI Listing

Publication Analysis

Top Keywords

gastroschisis exomphalos?
4
exomphalos? unusual
4
unusual abdominal
4
abdominal defect
4
defect baby
4
baby antenatal
4
antenatal diagnosis
4
diagnosis exomphalos
4
exomphalos born
4
born term
4

Similar Publications

Outcomes of Gastroschisis and Omphalocele Treated at Children's Surgery Verified Centers in Texas.

J Surg Res

December 2024

Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas; Division of Pediatric Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas. Electronic address:

Introduction: Anterior abdominal wall defects (AWDs), such as gastroschisis or omphalocele, are often diagnosed prenatally and counseled to deliver at facilities with resources capable of managing their AWD and complex-associated anomalies. The American College of Surgeons instituted their Children's Surgery Verification (CSV) program to identify facilities with the optimal resources for pediatric surgical care. We aimed to evaluate the impact of CSV status on the outcomes of AWD and potential health disparities in the care of AWD in the first year of life in Texas.

View Article and Find Full Text PDF

Burden and mortality of congenital gastrointestinal anomalies: insights from a nationwide cohort study.

Pediatr Surg Int

October 2024

Division of Paediatric Surgery, Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.

Article Synopsis
  • Improved perioperative care has led to better survival rates for children with congenital gastrointestinal issues and abdominal wall defects in developed countries, but similar data is lacking in developing nations like Malaysia.* -
  • A study analyzed 228 Malaysian children with various congenital conditions, finding an overall mortality rate of 8.8%, primarily affecting those with congenital diaphragmatic hernia (CDH), which was linked to factors like central venous access needs and higher ASA scores.* -
  • CDH significantly increases the risk of mortality and sepsis, highlighting the need for early detection and proactive treatment strategies to improve outcomes for affected children.*
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how different types of fetal anomalies impact maternal health outcomes, particularly severe maternal morbidity (SMM), using U.S. birth data from 2011 to 2020.
  • Findings show that most fetal anomalies increase the risk of SMM during pregnancy, with higher risks associated with conditions like cleft lip, spina bifida, and congenital diaphragmatic hernia.
  • The analysis included over 35 million pregnancies and found that while most anomalies raised the risk of maternal complications, gastroschisis and limb anomalies did not significantly affect SMM outcomes.
View Article and Find Full Text PDF

Omphalocele and gastroschisis are the most common types of abdominal wall defects. Comprehensive local experience helps parents to make decisions on the pregnancy and foresee the disease journey. A retrospective review of abdominal wall defect patients in all three pediatric surgical centers in Hong Kong between January 2003 and February 2023 was conducted.

View Article and Find Full Text PDF

Purpose: Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns.

Methods: Four tertiary pediatric surgery departments participated in the study between 04/2022 and 11/2023.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!