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What is Omphalocele?
Omphalocele is a rarified stipulation where the patient has congenital or nativity defect of the abdominal paries leading to protrusion of the patient or infant ’s intestine , liver and other electric organ outside the belly through theumbilicus or stomach push . This happens due to a fault during the developing of the abdominal wall muscles . A thin , transparent sac hatch the protruded organs . This pocket is rarely broken or open . Omphalocele is also known as exomphalos .
During the development of the baby in the six through ten weeks of gestation , the intestine increase in distance and get pushed out into the umbilical cord , from the belly . Normally , by the eleventh workweek of pregnancy , the intestines go back into the venter . When this does not fall out , then it results in omphalocele . The babe can have a small omphalocele where only some of the intestines are push outside the abdominal bulwark , or it can be a with child omphalocele , where many organ protrude through the abdominal wall .
An omphalocele has a high deathrate rate of about 25 % and is also associate with spartan deformity , such as neural tube blemish , cardiac anomalies and chromosomal abnormality along with congenital abnormality . As the abdominal organs are force outside the abdominal bulwark , infants with omphalocele also tend to have other problem . The normal abdominal cavity , which hold these organs , may not grow to its normal size of it . Omphalocele also carries a risk of contagion , especially if the pocket which control the bulge organs breaks . In some cases , there can be twisting or pinching of the Hammond organ , which can ensue in restricted blood catamenia result in impairment to the electronic organ .
Signs & Symptoms of Omphalocele
The pouch that contains the protruded organs forms from outpouching of the peritoneum and it protrudes through the umbilicus , in the midplane region . It is normal until the 10th calendar week of pregnancy for the intestines to protrude from the abdominal bulwark into the umbilical cord after which they return back inside the abdomen of the foetus . Surgery is ask in severe cases of umbilical hernia as the abdomen of the infant is abnormally small , as it fails to elaborate from not accommodate the developing abdominal variety meat . There is a higher risk of cardiac defects with larger umbilical hernia .
Causes & Risk Factors of Omphalocele
In most of the example , the crusade of umbilical hernia is not know . Omphalocele can be caused from malrotation of the intestines when they are returning back to the abdomen during the exploitation phase angle in the pregnancy . familial disorders , such as Patau Syndrome or Edward ’s syndrome are also thought to cause omphalocele . Omphalocele is also associated with Beckwith - Wiedemann syndrome .
Omphalocele can also occur from a combination of genes and other factors include the mother coming in link with some unfavourable environment or due to consumption of sure food for thought or drinks , or practice of medicine during her pregnancy . If the mother consumes alcohol or is a baccy drug user during pregnancy , then it increase the risk of the baby have umbilical hernia . Use of certain medication , such as selective serotonin - re-uptake inhibitor ( SSRIs ) , during gestation also increases the chances of receive a babe with an umbilical hernia . Being heavy or corpulent before pregnancy increase the risk of the baby having umbilical hernia .
Diagnosis of Omphalocele
Diagnosis of omphalocele can be made during pregnancy or after the birth of the baby .
During Pregnancy : Prenatal test or masking tests can be done during pregnancy to calculate for birth defect and other associated conditions . An omphalocele can be observe during an echography or it can cause an abnormal event on a blood serum or stemma screening test .
After the birth of the infant : Sometimes , an omphalocele can only be diagnose after the birth of the child when it can be clear visualized .
Treatment for Omphalocele
Treatment for omphalocele depends on various factors , which include :
If the omphalocele is small in size where only a part of the intestines is present outside the belly , then operating room is often done instantly after birth to push back the intestines into the abdomen and the opening is closed . If the sizing of the umbilical hernia is orotund where there are many abdominal organ bulge out of the belly , then the umbilical hernia is restore in stages . The Dr. may treat the exposed abdominal variety meat using a especial material and bit by bit , over a full stop of time , the organs are drive back into the stomach . After all the organs have been exchange into the belly , the opening is then shut .
character reference :
Children ’s Hospital of Philadelphia – Omphalocele : Find in - depth information on umbilical hernia diagnosing and intervention pick at the Children ’s Hospital of Philadelphia . Read more
American Pregnancy Association – Omphalocele : Discover how omphalocele is diagnose during maternity and get sixth sense into the condition ’s antepartum testing . Read more
MedlinePlus – Omphalocele : admittance reliable medical information about omphalocele , its causes , and potential complications . interpret more
