OMPHALOCELE AND GASTROCHISIS

Question 1

Describe omphalocele

Answer 1

Omphalocele is the presence of gelatinous
Omphalocele Gastrochisis transparent sac covering the eviscerated
Commoner in children C o m m o n in
children abdominal contents

Layers of sac: Peritoneum, Amnio
Eviscerated bowel i s Eviscerated
b o w e l Wharton’s jelly

Question 2

Associated syndromes: omphalocoele

Answer 2

*macroglossia
* gigantism,
*beckwinhwieldemann
* Caudal syndrome, Pentalogy of cantrel(diaphragmatic defect)
* pericardial defect,
* epigastricomphalocele, ectopic cordis, sternal defect), Trisomy 13, 18, 21

Question 3

Classification omphalocoele

Answer 3

Based on size
a. omphalocele minor: sac diameter is <5cm. umbilical cord is attached to the midpoint.
Content is just the midgut
b. omphalocele major: sac diameter >5cm. umbilical cord is attached to the pole. Cent is other abdominal viscera
-based on syndrome
a. syndromicomphalocele
b. non syndromicomphalocele
-based on state ofs a c a. intact sac
b. ruptured sac

Question 4

GASTROCHISIS definition

Answer 4

*Evisceration of bowel and is often located to the right of the umbilicus without any sac covering it

Question 5

Investigation of gastrochisis

Answer 5

Investigations
Babygram, RBS, Echocardiography, Chest X- ray, Karyotype/Genetic screening, Amniotic fetoprotein (AFP)

Question 6

Similarities betweenGastrochisis and Omphalocele

Answer 6

Both congenital defects
-both are anterior abdominal walldefect
-affects babies (males)
-extremes of age of mothers are at risk
-temperature, swelling and pain are common features seen in both

Question 7

Differences between omphalocoele and gastrochisis

Answer 7

Gastrochisis :
*children born to teenage multiparous women mothers
* Eviscerated bowel sac covering it
*it is isolated

Omphalocoele
*eviscerated bowel is covered with a sac (peritoneum ,Wharton jelly sac amniotic fluid
* it is more associated with symptoms