Cuillier F,MD*, Kha G, MD**, Michel JL, MD***, Pilorget H, MD****
* Department of Gynecology, Hôpital Félix Guyon
** Gynecologist, Saint Clothilde Institut
*** Department of Pediatric Surgery, Hôpital Félix Guyon
**** Department of Neonatology, Hôpital Félix Guyon, Réunion Islland, France.
Case report: This is a 30-year-old woman with no family history of malformation or genetics disorders. She was referred to our unit at 21 weeks, due to an omphalocele. The first scan performed at 11 weeks was normal. The first trimester screening was also normal (the triple test and the nuchal translucency) was also normal. At 16 weeks, an amniocentesis was performed (46 XX). Ultrasound scan at 21 weeks revealed no polyhydramnios. The fetal movement seemed normal. There were no associated anomalies. The omphalocele contained part of liver and bowels. The repeat scan performed at 26, 28 and 32 weeks did not reveal any complications. Nevertheless at 32 weeks, a cesarean section was performed due to maternal preeclampsia. The baby weight was 2700g.
On the first day, the baby was hospitalized in neonatal unit. An external compression with traction of the omphalocele was done. The body wall traction was performed during two days. In the third day, a banding was repairing. The omphalocele was regressing. There were no hemodynamic or respiratory complications. At day four, an abdominal surgery was done in one step, without any complication. A 5 cm defect was still there. The omphalocele surgery was done with appendectomy. The postoperative follow up was strictly normal.
Sagittal view showing the omphalocele at 21 weeks