Abstract: Omphalocele is one of the most common congenital abnormalities abdominal wall. In various countries, incidence omphalocele ranges from 1-3.8 per 10,000 pregnancies. This study aimed to determine pathophysiology and predisposing factors associated with omphalocele. was a literature review study. Literatures were obtained through several databases: Pubmed, ClinicalKey, Google Scholar. T...

We read with interest case series of “Hernia of umbilical cord: Report of three unusual cases” [1] and want to mention our own case where a misdiagnosis led to inadequate management resulting in loss of 30cm of small bowel. A 12hour-old male baby delivered via Caesarian section due to prenatal diagnosis of omphalocele. He was attended by a surgical resident and labelled as omphalocele major and...

Persistent omphalomesenteric duct is a rare congenital anomaly and protrusion of the bowel through the duct is the only neonatal emergent clinical entity associated with this condition. The pathogenesis is the lack of intestinal involution by the ninth gestational week. There are several associated anomalies like intestinal malrotation, oesophageal atresia and omphalocele, which are all extreme...

Gastroschisis represents herniation of abdominal contents through a paramedian fullthickness abdominal wall fusion defect without involving the umbilical cord. Evisceration, usually, contains only intestinal loops and not covered by membrane unlike in Omphalocele. Gastroschisis with other serious birth defects is unusual. Neonates with Gastroschisis have better prognosis than those with an Omph...

An omphalocele is an extrusion of the intestine and other abdominal contents through the umbilical ring. The prevalence rate varies with the methods of ascertainment. McKeown et al,1 in Birmingham in 1941-1951, found a prevalence rate of 1 in 3,200 liveand stillbirths, and in 1982, in Northern Ireland, the figure was 1 in 2,000 liveand stillbirths.2 It is usually sporadic, and familial occurren...

Doctors have no ethical obligation to provide futile treatment. This has been true since the time of Hippocrates who warned physicians not to treat patients who were “overmastered by their disease.” This principle remains valid today but, as the Society for Critical Care Medicine notes, it is difficult to identify treatment as absolutely futile in all but a few clinical situations. Far more com...