Exomphalos Defects : A Review of 15 Cases

Neonatal Outcome of Abdominal Wall Defects at a Tertiary Center in Oman

“…In this study, the median maternal age for the patients with gastroschisis was lower than that for Omphalocle, the reason for which is not yet clear in the literature [6,7]. A significantly higher number of emergency caesarean deliveries occurred among our patients (66.67%).…”

“…The remaining six patients (50%) were diagnosed after birth in peripheral hospitals, which might indicate a lack of ultrasound expertise as the value of an ultrasound is affected by the experience of the radiographer and the timing of the study. Although an increase in the level of maternal serum alpha-fetoproteins is a characteristic of omphalocele and gastroschisis [6,7], this information was not available for our patients.…”

“…The genetic origin of abdominal wall defects is inadequately understood. The main antenatal diagnostic techniques are ultrasonography and measurement of serum alpha-fetoprotein [6,7]. The majority of abdominal-wall defects are identified by antenatal ultrasound, which has sensitivity ranging from 60% to 75% and a specificity of 95% for both omphalocele and gastroschisis [8].…”

A rare case of an Omphalocele Major with associated Tetralogy of Fallot in a newborn

“…5,6 The intra-operative intravesical pressure assessment can help in excluding abdominal compartment syndrome and deciding upon the choice of closure. 7 Regarding the outcome, a study by Vachharajani et al shows that major omphalocele have poorer prognosis compared to minor omphalocele. 8 Also, study by Akinkuotu et al shows that it is associated with the presence of concomitant anomalies including cardiac anomalies requiring surgery in the neonatal period, congenital diaphragmatic hernia, and chromosomal anomalies which significantly increased mortality and pulmonary morbidity.…”