Exomphalos, an analysis of 22 cases

Sinha, Sangeeta; Yadu, F. L.; Agarwal, Krishna; Sharma, H. S. D.; Dabke, A. T.

doi:10.1007/bf02821585

Cited by 3 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 3 cases [5,14,15], the authors concluded the omphalocele and intestinal atresias occurred independently of one another. Finally, in 8 cases [8][9][10]16,17], the origins of the atresia were not commented upon. Despite the fact that …”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Mechanical compression with secondary ischemia as a possible cause of atresias associated with omphalocele

Carnaghan

Jesudason

Miniati

2009

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 96%

“…We interrogated the literature and found 19 reports [4][5][6][7][8][9][10][11][12][13][14][15][16][17] of omphalocele associated with intestinal atresia (Table 1). In 8 cases [4,6,7,[11][12][13], the authors concluded the atresia occurred secondary to intestinal compression by a tight defect.…”

Section: Discussionmentioning

confidence: 99%

Mechanical compression with secondary ischemia as a possible cause of atresias associated with omphalocele

Carnaghan

Jesudason

Miniati

2009

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…In three cases, authors concluded that omphalocele and intestinal atresia occurred independently of one another [14,15]. In eight cases, the origin of the atresia remained elusive [16,17]. Although these studies lack standardization regarding the measurement of the size of the defect, the literature supports that the development of intestinal atresia in omphalocele requires a small abdominal wall defect capable of intestinal and mesenteric compression.…”

Section: Discussionmentioning

confidence: 99%

“…Although these studies lack standardization regarding the measurement of the size of the defect, the literature supports that the development of intestinal atresia in omphalocele requires a small abdominal wall defect capable of intestinal and mesenteric compression. Pratap et al [17] described a case of ileum entrapped within the omphalic ring and that entrapped segment of ileum was atretic. Patel et al [18] have described an unusual case of ileal atresia resulting from antenatal strangulation of Meckle's diverticulum in omphalocele minor.…”

Section: Discussionmentioning

confidence: 99%

Importance of the Early Management of Omphalocele Minor

Mufti¹

2015

J Neonatal Biol

View full text Add to dashboard Cite

Background: This study was conducted to characterize the clinical features, associated anomalies, operative management, and operative findings in babies with omphalocele minor. Material and Methods: This was a prospective study conducted over a period of 2 years, from 2011 to 2013. The clinical, radiological, and operative findings of all the babies diagnosed with omphalocele minor were recorded and analyzed. Results: A total of 12 patients of omphalocele minor were admitted to our department. Ten babies required immediate exploration within first 5 days of life. The main indication of exploration was mechanical intestinal obstruction due to either associated atresia (five patients) or obstruction caused by mechanical compression of the gut by the small abdominal wall defect in remaining seven patients. Atretic segment was seen within the sac in two patients, distal ileal atresia in one, atresia at the neck of the abdominal wall defect in one, and ascending and transverse colonic atresia in one patient. Out of 10 patients in whom exploration was needed, 9 required resection anastomosis and in 1 patient intestine within the omphalocele sac had pregangrenous changes and did not require resection. There were three mortalities in our series; rest of the patients were doing well during the follow up. Conclusion: Omphalocele minor although apparently seems to be a minor anomaly, but, as shown in our series, it has the potential of causing intestinal obstruction due to associated gut atresia or compression from tight abdominal defect. We conclude and recommend that all the patients with omphalocele minor should be admitted and observed for the possible development of intestinal obstruction and hence for early surgical intervention to prevent subsequent complications.

show abstract

Conservative treatment of omphalocela

Banjac

Marić²,

Bajmak³

2013

MedJMont

View full text Add to dashboard Cite

SažetakUvod u liječenju omfalocele je bitan inicijalni tretman u porodilištu. Novorođenče treba previti sterilnim gazama, natopljenim fiziološkim rastvorom. Neophodno je i plasiranje nazogastrične sonde, uspostavljanje intravenske linije, da bi se odmah počelo sa iv rehidracijom i antibiotskom profilaksom. Pored hirurškog liječenja, u posljednje vrijeme se preferira konzervativni tretman.Prikaz slučaja Novorođenče premješteno iz porodilišta, neposredno nakon rođenja. Na srednjem dijelu prednjeg trbušnog zida vidljiva velika kesa (omfalocela), prekrivena providnom intaktnom opnom, ispunjena trbušnim organima. Na donjem dijelu omfalocele nalazi se polazište pupčanika. Konzervativni tretman podrazumijevao je toaletu opne i aktivno traganje za udruženim bližim ili udaljenim anomalijama. Cilj "konzervativnog" tretmana je prevođenje omfalocele u ventralnu herniju, čime se odlaže definitivna operacija.Zaključak -Omfalocela sa perforiranom opnom je akutno, urgentno stanje koje zahtijeva neodložan, hirurški tretman. Omfalocelu sa intaktnim opnama treba tretirati konzervativno. Tretman omfalocele sa intaktnim opnama ima za cilj prevenciju rupture opne, sprečavanje gubitka tečnosti, elektrolita i toplote, kao i prevenciju infekcije, da bi se na najbolji način omfalocela prevela u ventralnu herniju. Conservative treatment of omphalocela AbstractBackground The inicial treatment in maternity ward is very important when dealing with omphalocele. A newborn should be bandaged with steril gauze which are soaced with physiologic solution. It is also necessary to place a nasogastric sonda, making an intravenous line in order to start immediate intravenous rehidration and antibiotic prophylaxis. Beside surgical treatment, conservative treatment is prefered lately.

show abstract

Exomphalos, an analysis of 22 cases

Cited by 3 publications

References 7 publications

Mechanical compression with secondary ischemia as a possible cause of atresias associated with omphalocele

Mechanical compression with secondary ischemia as a possible cause of atresias associated with omphalocele

Importance of the Early Management of Omphalocele Minor

Conservative treatment of omphalocela

Contact Info

Product

Resources

About