PMID: 8938356Feb 1, 1996Paper

Prenatal diagnosis of abdominal wall defects and their prognosis

Journal of Pediatric Surgery
Shinkichi KamataA Okada

Abstract

To determine whether associated anatomic features may be useful in predicting fetal prognosis, 43 fetuses who had ultrasonographic evaluation for abdominal wall defects during a 13-year period were reviewed. Thirty-one fetuses had omphalocele and were classified into three groups according to fetal ultrasonography results: ruptured omphalocele with exposed liver, giant omphalocele with exposed liver, and small omphalocele without liver herniation. Twelve fetuses had gastroschisis. Ten of the 12 fetuses with gastroschisis survived; one died in utero. Nine of the 12 with a small omphalocele survived. Ten of 12 fetuses with giant omphalocele survived, but six of the seven with ruptured omphalocele died of pulmonary hypoplasia and respiratory insufficiency. Ruptured omphalocele recognized in utero was accompanied by intrauterine growth retardation and liver herniation and frequently was associated with deformity of the spine, diaphragmatic defects, vesicointestinal fissure, and meningocele. These results indicated that, together with the deformity of the spine, rupture and absence of the covering membrane with an exposed liver (noted through fetal ultrasonography) may suggest a poor prognosis because of pulmonary hypoplasia.

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Citations

Oct 26, 2007·Pediatric Surgery International·Shinkichi KamataMasahiro Fukuzawa
Jun 7, 2005·Journal of Pediatric Surgery·Maurizio PacilliAgostino Pierro
Jun 7, 2005·Journal of Pediatric Surgery·A QueizánL Martínez
Mar 1, 1997·Journal of Pediatric Surgery·D M Burge, N Ade-Ajayi
May 6, 2011·American Journal of Perinatology·Michelle A KominiarekTerrell Zollinger
Jul 14, 2010·Journal of Pediatric Surgery·Jill S WhitehouseMarjorie J Arca
Mar 27, 2013·Prenatal Diagnosis·Mikaël TassinAlexandra Benachi
Jul 18, 2008·Prenatal Diagnosis·Stephanie MannR Douglas Wilson
Mar 19, 2015·Journal of Pediatric Surgery·William H PeranteauHolly L Hedrick
May 1, 2013·American Journal of Obstetrics and Gynecology·Andrew P SouthJareen Meinzen-Derr
Sep 1, 2009·American Journal of Obstetrics and Gynecology·Sara S NicholasAnthony O Odibo
Oct 23, 2012·Journal of Pediatric Surgery·Enrico DanzerHoward B Panitch
Jan 20, 2004·Pediatric Pulmonology·Jean-Marc BiardJan Deprest
May 29, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·T E Cohen-OverbeekD Tibboel
Aug 27, 1998·The Journal of Urology·P F AustinM Maizels
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Sep 23, 2006·Neonatal Network : NN·Carol McNairHeather Urquhart
Feb 19, 2019·Case Reports in Surgery·Wendy Jo SvetanoffC Jason Smithers
Oct 18, 2020·Birth Defects Research·Wendy N NembhardPierpaolo Mastroiacovo

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