2014, Number 2
<< Back Next >>
Revista Cubana de Obstetricia y Ginecología 2014; 40 (2)
Prenatal ultrasound diagnosis of omphalocele
del Río RL, Blanco FN, Rodríguez DZ
Language: Spanish
References: 10
Page: 265-271
PDF size: 180.87 Kb.
ABSTRACT
Omphalocele is an abdominal wall defect at the midline characterized by herniation
of abdominal contents and covered by peritoneum and amnion. The aim of this
paper is to present a case of omphalocele with gestational age of 23 weeks and
prenatal diagnosis by ultrasonography. Using ultrasound diagnosis in a patient
pesquiza made 40 years of age in the second trimester (gestational age 23 weeks)
showed a level of the anterior fetal echogenic image that sticks through the
abdominal wall and then locate the cord umbilical. Stomach is seen displaced and
loss of normal anatomy of the abdominal circumference. Genetic counseling was
conducted at the Municipal Center for Genetics of Manzanillo.
Anatomopatolágicamente the fetus presented short and wide neck, low-set ears,
defect omphalomesenteric of ductal closure, hernia sac occupied by the caudate
lobe of the liver and gallbladder bed, wide base heart dissection showing cava-cava
absence of interventricular septum was observed pulmonary valve stenosis most
dilation of supravalvular pulmonary artery, large defect and aorta intraventricular
septum ride, which speaks in favor of a heart rate troncoconal fallop trilogy over
the omphalocele. Prenatal diagnosis by ultrasonography is an efficient and reliable
method for prenatal diagnosis of omphalocele.
REFERENCES
Rodríguez N, Mariño R, López R. Onfalocele fetal. Exposición de caso clínico y revisión. Rev Clínica e Investigación en ginecología y obstetricia [serie en Internet] 2013. [consultado 19 Sep de 2013];40(4):186-88. Disponible en: http://www.sciencedirect.com/science/journal/0210573X
Oliva J. Onfalocele. Defectos de cierre de la pared anterior abdominal. Capítulo 8. En: Ultrasonografía diagnóstica fetal, obstétrica y ginecológica. La Habana: Editorial Ciencias Médicas; 2010. p. 158-63.
Carabajal CM, Domínguez JM, Parera M, Cristina SA, Santa-Cruz EO. Diagnóstico ecográfico de onfalocele: Reporte de un caso clínico. Revista de Posgrado de la Cátedra de Medicina. 2010;202:14-6.
Behrman RE, Kliegman RM, Harbin AM. Onfalocele. En: Nelson. Tratado de Pediatría. 16ª ed. Mc Graw Hill; 2000. p. 170-74.
Shuster SR. Omphalocele and Gastrochisis. In: Welch KJ Pediatric Surgery. Chicago: Year Book Medical Publisher, Inc. 1986. p. 740-3.
Yazbeck S. The Giant Omphalocele: A new Approach for a Rapid and Complete Closure. Journal Pediatr Surg. 1986;8:715-7.
Dillon PW, Cilley RE. Newborn Surgical Emergences. Gastrointestinal Anomalies, Abdominal Wall Defects. Pediatrics Clin of North Am. 1993;40(6):1289-314.
Primucci P, Viglanco M, Brignoli V. Onfalocele. Revista Argentina de Ultrasonido. 2009;8(1):5-8.
Leiva Aranda, Villa JL, Pulido A, Cruz D. Importancia del diagnóstico prenatal ante la sospecha de onfalocele. Revista de Medicina General de la Sociedad Española de Medicina General. 2007;95:238-9.
Chircor L, Mehedinti R, Hîncu M. Risk factors related to omphalocele and gastroschisis. Rom Journal Morphol Embryol. 2009;50(4):645-9.