Omphalocele

Case contributed by Dr Ahmed Mahrous Saied

Presentation

Routine 2nd trimester antenatal care at 17 weeks of gestation

Patient Data

Gender: Female
Modality: Ultrasound

Multiple ultrasound images and correlated doppler scanning revealed abnormal herniation of the bowel loops outside the abdominal cavity along with herniation of liver tissue. 

No evidence of rupture.

The mean gestational age was equal to 17 weeks. 

Case Discussion

The above described features are highly suggestive of omphalocele:

  1. Presence of liver tissue within the herniated sac is more common finding in omphalocele than gastroschisis.
  2. The herniation is midline, more common with omphalocele. 
  3. Presence of a covering membrane noted, compatible with omphalocele rather than gastroschisis.
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Case Information

rID: 34001
Case created: 1st Feb 2015
Last edited: 15th Sep 2016
System: Obstetrics
Inclusion in quiz mode: Included

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