Postnatal management and outcome of anterior abdominal wall defects

1997 ◽  
Vol 9 (1) ◽  
pp. 49-60
Author(s):  
Vanessa Wright
Keyword(s):  
Abdominal Wall ◽  
Ultrasound Examination ◽  
Maternal Serum ◽  
Abdominal Wall Defects ◽  
Cloacal Exstrophy ◽  
Postnatal Management ◽  
Professional Groups ◽  
Serum Alpha Fetoprotein ◽  
The Subject ◽  
The Many

The spectrum of abdominal wall defects includes exomphalos (omphalocoele), gastroschisis, and bladder and cloacal exstrophy. These congenital anomalies are readily recognised on a prenatal ultrasound scan. A raised maternal serum alpha-fetoprotein (MSAFP) should also prompt an ultrasound examination looking specifically for these anomalies, as well as neural tube defects. The influence of prenatal diagnosis on the peri- and postnatal management and outcome is still the subject of debate. Most published work relies on patient numbers too small to be of use statistically. Attempting to draw objective conclusions is made difficult because published series come from units with differing facilities and levels of expertise in the many professional groups involved in the management of these often complex anomalies.

scholarly journals Gastroschisis and Omphalocele: A Case report

2018 ◽  
Vol 28 (2) ◽  
pp. 64-65
Author(s):  
Mosammat Nargis Shamima ◽  
Mohd Alamgir Hossain ◽  
Shahela Jesmin ◽  
Nargis Jahan ◽  
Noshin Tasnim
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Developing Country ◽  
Maternal Serum ◽  
Prenatal Ultrasound ◽  
Congenital Defects ◽  
Antenatal Visit ◽  
Abdominal Wall Defects ◽  
Serum Alpha Fetoprotein

Fetal gastroschisis and omphalocele are congenital defects of abdominal wall that are often diagnosed by prenatal ultrasound done for routine screening or for obstetric indications such as evaluating an elevated maternal serum alpha fetoprotein (AFP).Regular antenatal checkup and Prenatal ultrasound could potentially identify the overwhelming majority of abdominal wall defects and accurately distinguish omphalocele from gastroschisis. But in a developing country like Bangladesh neglected patients fail to seek antenatal visit and prenatal diagnosis. Here we report a case of gastroschisis and omphalocele diagnosed incidentally during last trimester.TAJ 2015; 28(2): 64-65

scholarly journals Gastroschisis and Omphalocele: A Case report

2012 ◽  
Vol 2 (1) ◽  
pp. 42-45
Author(s):  
P Kayastha ◽  
S Paudel ◽  
RK Ghimire ◽  
MA Ansari
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Maternal Serum ◽  
Prenatal Ultrasound ◽  
Alpha Fetoprotein ◽  
Overwhelming Majority ◽  
Routine Screening ◽  
Congenital Defects ◽  
Abdominal Wall Defects ◽  
Serum Alpha Fetoprotein

Fetal gastroschisis and omphalocele are congenital defects of abdominal wall that are often diagnosed by prenatal ultrasound done for routine screening or for obstetric indications such as evaluating an elevated maternal serum alpha fetoprotein (AFP). Prenatal ultrasound could potentially identify the overwhelming majority of abdominal wall defects and accurately distinguish omphalocele from gastroschisis. Here we report two cases of gastroschisis and omphalocele diagnosed at routine prenatal ultrasound. NJR I VOL 2 I ISSUE 1 42-45 Jan-June, 2012 DOI: http://dx.doi.org/10.3126/njr.v2i1.6980

scholarly journals Gastroschisis and Omphalocele: A Case report

2018 ◽  
Vol 27 (2) ◽  
pp. 63-64
Author(s):  
Mosammat Nargis Shamima ◽  
Mohd Alamgir Hossain ◽  
Shahela Jesmin ◽  
Nargis Jahan ◽  
Noshin Tasnim
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Developing Country ◽  
Maternal Serum ◽  
Prenatal Ultrasound ◽  
Congenital Defects ◽  
Antenatal Visit ◽  
Abdominal Wall Defects ◽  
Serum Alpha Fetoprotein

Fetal gastroschisis and omphalocele are congenital defects of abdominal wall that are often diagnosed by prenatal ultrasound done for routine screening or for obstetric indications such as evaluating an elevated maternal serum alpha fetoprotein (AFP).Regular antenatal checkup and Prenatal ultrasound could potentially identify the overwhelming majority of abdominal wall defects and accurately distinguish omphalocele from gastroschisis. But in a developing country like Bangladesh neglected patients fail to seek antenatal visit and prenatal diagnosis. Here we report a case of gastroschisis and omphalocele diagnosed incidentally during last trimester.TAJ 2014; 27(2): 58-62

Ultrasonic Evaluation of Twin Pregnancies Associated With Raised Serum Alpha-Fetoprotein Levels

1982 ◽  
Vol 31 (3-4) ◽  
pp. 229-233 ◽  
Author(s):  
J.P. Neilson ◽  
V.D. Hood ◽  
W. Cupples
Keyword(s):  
Twin Pregnancy ◽  
Ultrasound Examination ◽  
Maternal Serum ◽  
Alpha Fetoprotein ◽  
The Other ◽  
Intrauterine Death ◽  
Ultrasonic Evaluation ◽  
Healthy Infants ◽  
Serum Alpha Fetoprotein ◽  
Twin Pregnancies

Five cases of twin pregnancy associated with elevated maternal serum alpha-fetoprotein levels are presented. In each instance an abnormality was detected by ultrasound examination—in four cases this represented anomalous development of one or both fetuses: discordant anencephaly; a monozygotic heterokaryotypic twin pregnancy with coexistent Turner's syndrome and intrauterine death; concordant body-stalk syndrome; and fetal exomphalos together with an acardiac monster. In the remaining case, there had been an intrauterine death of one of the twins. Ultrasound examination proved valuable in all instances; three pregnancies were terminated and single healthy infants were delivered from each of the other two pregnancies.

scholarly journals Prenatal ultrasound diagnosis of anterior abdominal wall defects in sub Saharan Africa; simple but often missed

2021 ◽  
Vol 9 (8) ◽  
pp. 2252
Author(s):  
Andrew H. Shitta ◽  
Mercy W. Isichei ◽  
Ezekiel D. Dung ◽  
Solomon D. Peter ◽  
Michael B. Ode ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Detection Rate ◽  
Anterior Abdominal Wall ◽  
Bladder Exstrophy ◽  
Prune Belly Syndrome ◽  
Abdominal Wall Defects ◽  
Cloacal Exstrophy ◽  
Pentalogy Of Cantrell ◽  
Prune Belly

Background: Congenital anterior abdominal wall defects (AAWD) is a spectrum of abdominal wall defects that includes omphalocele, gastroschisis, bladder exstrophy, cloacal exstrophy, prune belly syndrome and pentalogy of Cantrell. Early Prenatal diagnosis of AAWD provides opportunity for abnormal karyotypes screening and planned delivery in a specialized centre. Ultrasound can detect these defects during pregnancy. This study aims to evaluate the detection rate of AAWD during routine obstetric ultrasonography in our region.Methods: A retrospective study of all patients that presented with AAWD to our centre from January 2008 to July 2020. Data included patient’s age, sex, birth weight, diagnosis, resuscitation time, outcome, maternal age, parity and antenatal ultrasound scan (USS) records. Antenatal USS before 12 weeks only, were excluded. Data analysed using excel.Results: Of the 140 with AAWD, 84.29% had omphalocele, 10% gastroschisis, 2.14% prune belly syndrome and 0.71% each with bladder exstrophy, cloacal exstrophy and pentalogy of Cantrell. There were 123 booked pregnancies. Majority (112) had antenatal care elsewhere while 11 attended our Centre. Ultrasonography of 108 pregnancies scanned at12 weeks or beyond, had 4 confirmed prenatal diagnosis of AAWD. All done in our centre. Mean gestational age at diagnosis was 24weeks. Outcome was rupture1 (25%) and 25% mortality (prenatally diagnosed) and 51.92% mortality for patients with missed diagnosis.Conclusions: Our obstetric ultrasound detection rate of AAWD is very low. There is a need for improvement in training to improve perinatal care of these defects.

Cloacal exstrophy and related abdominal wall defects in Manitoba: Incidence and demographic factors

2008 ◽  
Vol 27 (3) ◽  
pp. 241-251 ◽  
Author(s):  
Jane A. Evans ◽  
Kathleen D. Darvill ◽  
Cynthia Trevenen ◽  
Cheryl Rockman-Greenberg
Keyword(s):  
Abdominal Wall ◽  
Demographic Factors ◽  
Abdominal Wall Defects ◽  
Cloacal Exstrophy

scholarly journals Management of cavernous abdominal wall defects post radical cystectomy in adult exstrophy complex

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-226076
Author(s):  
Prashant Kumar ◽  
Rishi Nayyar ◽  
Amlesh Seth ◽  
Deepti Gupta
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Bladder Exstrophy ◽  
Rectus Muscle ◽  
Anterolateral Thigh Flap ◽  
Abdominal Wall Defects ◽  
Cloacal Exstrophy ◽  
Local Skin ◽  
Anterolateral Thigh ◽  
Total Reconstruction

The exstrophy–epispadias complex represents a spectrum of genitourinary malformations ranging from simple glanular epispadias to an overwhelming multisystem defect, cloacal exstrophy. Neonatal total reconstruction of bladder exstrophy–epispadias complex is the treatment of choice. An adult patient presenting with untreated exstrophy is very rare. Malignant transformation, commonly adenocarcinoma, in such cases is a known complication due to mucosal metaplasia of urothelium. Management in such cases necessitates a radical surgical procedure that often results in a massive defect in the anterior abdominal wall. Providing a cover for such defects is a challenging task for the reconstructive surgeon. Local skin flaps and wide mobilisation of the rectus muscle are the usually employed techniques for closure of such defects. However, these may be inadequate in extremely large defects such as those encountered in our patients. We, hereby, describe our technique of closure of the abdominal wall defect using a pedicled anterolateral thigh flap.

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