2012
DOI: 10.1002/ar.22556
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Muscle Patterning in Mouse and Human Abdominal Wall Development and Omphalocele Specimens of Humans

Abstract: Human omphalocele is a congenital defect of the abdominal wall in which the secondary abdominal wall structures (muscle and connective tissue) in an area centered around the umbilicus are replaced by a translucent membranous layer of tissue. Histological examination of omphalocele development and moreover the staging of normal human abdominal wall development has never been described. We hypothesized that omphalocele is the result of an arrest in the secondary abdominal wall development and predicted that we w… Show more

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Cited by 21 publications
(34 citation statements)
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“…Within this group, gastroschisis and omphalocele, including thoracoabdominoschisis, are most prevalent with frequencies of 1 : 2-4000 (Glasser, 2001), whereas other ventral midline defects, such as ectopia cordis, exstrophy-epispadias complex (bladder or cloacal exstrophy), or a combination of a ventral body wall and a limb defect are at least 10-fold rarer (Glasser, 2001;Hunter et al 2011). In omphalocele and gastroschisis, the rectus muscle was intact but inserted more laterally on the costal margins and xiphoid process, respectively (Klein & Hertzler, 1981;Nichol et al 2012). In the same way, the sternum in ectopia cordis is usually accompanied by a bifid sternum, diastasis of the abdominal rectus muscles, and a diaphragmatic defect (Kanagasuntheram & Verzin, 1962).…”
Section: Implications For Malformationsmentioning
confidence: 99%
“…Within this group, gastroschisis and omphalocele, including thoracoabdominoschisis, are most prevalent with frequencies of 1 : 2-4000 (Glasser, 2001), whereas other ventral midline defects, such as ectopia cordis, exstrophy-epispadias complex (bladder or cloacal exstrophy), or a combination of a ventral body wall and a limb defect are at least 10-fold rarer (Glasser, 2001;Hunter et al 2011). In omphalocele and gastroschisis, the rectus muscle was intact but inserted more laterally on the costal margins and xiphoid process, respectively (Klein & Hertzler, 1981;Nichol et al 2012). In the same way, the sternum in ectopia cordis is usually accompanied by a bifid sternum, diastasis of the abdominal rectus muscles, and a diaphragmatic defect (Kanagasuntheram & Verzin, 1962).…”
Section: Implications For Malformationsmentioning
confidence: 99%
“…Two major hypotheses to explain the cause of large omphalocele have been proposed: the primary abdominal wall (PAW) defect theory and the secondary abdominal wall defect theory (see reviews by Brewer and Williams, 2004b ; Williams, 2008 ; Sadler and Feldkamp et al, 2008 ; Feldkamp et al, 2007 ; Sadler, 2010 ; Nichol et al, 2012 ). The ventral body wall is initially derived from the PAW, which is composed of the somatic mesoderm and surface ectoderm ( Durland et al, 2008 ).…”
Section: Introductionmentioning
confidence: 99%
“…The ventral body wall is initially derived from the PAW, which is composed of the somatic mesoderm and surface ectoderm ( Durland et al, 2008 ). Myoblasts that originate from somites migrate into the PAW and differentiate into abdominal muscles to sequentially form the secondary body wall (reviewed in Nichol et al, 2012 ). A recent study demonstrated the abnormal formation of abdominal muscle in human fetal specimens with a large omphalocele, supporting the secondary abdominal wall defect theory ( Nichol et al, 2012 ).…”
Section: Introductionmentioning
confidence: 99%
“…It results from herniation of abdominal viscera through an enlarged umbilical ring to the base of the umbilical cord. Possible causes include failure of the bowel to return to the abdominal cavity after normal physiologic herniation and failure of the abdominal wall to close (13). The defect size and sac contents are variable; sac contents may include bowel, liver, and other viscera (18).…”
Section: Omphalocelementioning
confidence: 99%
“…The lateral edges (somatic mesoderm) move ventrally toward each other, constricting the yolk sac and creating a coelomic space (future peritoneal cavity) that separates the gut tube (gastrointestinal tract) from the body tube (primary abdominal wall). Myoblasts then migrate into the primary abdominal wall and form the muscles and connective tissue (13) (Fig 1).…”
Section: Introductionmentioning
confidence: 99%