Omphalocele Latest Topics

22/3/2026

Sun, 22 Mar 2026 15:15:03 +0000

[size=6]A term infant weighing 2.5kg is born with a giant omphalocele measuring 6cm in diameter and containing 65% of the total liver volume. Other than a small muscular ventricular septal defect, there are no other associated anomalies. The amnion is still intact, but the defect is too large to be closed primarily. After a case conference to discuss staged closure options, a decision is made to gradually reduce the herniated contents with a silo created from an adhesive, hydrocolloid dressing (e.g. DuodermTM). The main advantage of this technique is?

a Reduced risk of central line associated infections

b Reduced risk of amniotic membrane rupture

c Reduced time to definitive closure

d Reduced exposure to anesthesia[/size]

2/11/2025

Sun, 02 Nov 2025 12:23:58 +0000

A baby with a giant omphalocele is born at 33 weeks gestation with a birth weight of 1800 gm. They have respiratory distress requiring intubation and mechanical ventilation. What is the most likely cause of respiratory morbidity in this baby with giant omphalocele?

a pneumonia and sepsis

b pulmonary hypoplasia

c hyaline membrane disease

d meconium aspiration

e associated congenital diaphragmatic hernia

Prenatal management of Omphalocele

Sat, 28 Jun 2025 05:53:16 +0000

omphalocele primary repair

Tue, 26 Oct 2021 03:30:54 +0000

see video link in second post

cbclips Episode 50

Sat, 14 Sep 2024 05:50:51 +0000

A female fetus is diagnosed with omphalocele on prenatal ultrasound. At 26 weeks gestation, omphalocele diameter / abdominal circumference = 0.24. No other fetal anomalies are detected. She is born by C-section at 39 weeks gestation. 24 hours after birth, she has 100% SaO2 while spontaneously breathing room air, is hemodynamically stable, has no other obvious anomalies on physical exam, and has a normal echocardiogram. The sac contains liver and intestine. How would you proceed?

staged Omphalocele major repair

Sat, 13 Feb 2021 15:55:29 +0000

Video Link in second post

19/11/2023

Sun, 19 Nov 2023 11:41:53 +0000

[size=20px]A 28-week gestation premature newborn has a giant omphalocele. The sac was torn during delivery and a ten cm loop of small intestine has herniated through the tear. Although otherwise stable, he requires mechanical ventilation.

The best initial management of this complicated omphalocele is

A excision of sac and primary fascial repair.

B comfort care only.

C excision of sac and split thickness skin graft.

D suture repair of the sac and topical antibiotic.

E excision of sac and bowel resection.[/size]

CBCLIPS Episode 41

Sun, 04 Jun 2023 06:30:25 +0000

A newborn boy with a prenatal diagnosis of omphalocele presents with this large structure at the umbilicus. The baby is asymptomatic and the remainder of the exam is normal. How will you approach this anomaly?

17/9/2023

Sun, 17 Sep 2023 11:07:33 +0000

A 36-week gestation, two kilogram infant is born with a very large omphalocele pictured below. The fascial defect measures approximately eight cm. The sac is intact but contains liver and multiple loops of bowel. The child has a loud heart murmur. Mechanical ventilation is required.

[size=20px]The most appropriate initial management of this patient with an omphalocele is

A attempted primary closure

B component separation technique

C placement of tissue expanders

D non operative management

E placement of silo around abdominal contents[/size]

silo management of ruptured Omphalocele

Sat, 15 Jul 2023 18:06:19 +0000

see video link in second post

omphalocele counseling

Sat, 12 Dec 2020 04:00:42 +0000

[size=20px]You are asked to see a couple with a fetus that has a 30-week ultrasound that reveals an apparent omphalocele.

In counseling the family, the finding most associated with a poor outcome in omphalocele is

A maternal age.

B polyhydramnios.

C liver herniation.

D small bowel dilation.

E ratio of omphalocele to transverse abdomen diameter of 0.5.[/size]

10/25/2020

Sun, 25 Oct 2020 10:34:47 +0000

please write the answer and your justification, correct answer will be submitted after 48 hrs

A 36 week, 2.8 kg infant is born with a prenatally diagnosed small omphalocele. Both the karyotype and fetal echocardiogram were normal, and the infant is breathing comfortably on room air.

[center][/center]

[size=20px]The preferred management of this small omphalocele is

A Umbilical cord dessication by air exposure

B Ligation above Wharton’s jelly

C Reduction of contents by cord twisting, with ligation at base of cord

D Primary fascial closure[/size]

omphalocele And sugar monitoring

Sat, 19 Sep 2020 09:13:32 +0000

first one to post answer win

Why all patients with omphalocele should undergo close blood-sugar monitoring for 48–72 hours after birth ?

omphalocele decisions

Sat, 19 Sep 2020 09:21:37 +0000

[b]omphalocele decision making chart

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Umbilical cord hernia also need echo

Sat, 19 Sep 2020 09:08:48 +0000