Omphalocele in Newborn: A Case Report
Author(s): Madhuri Shambharkar*, Kamini Rodge, Achita Sawarkar, Jaya Khandar, Vaishali Tembhare and Sheetal Sakaharka
Introduction: Omphalocele, commonly known as exomphalos or omphalocele, is an uncommon abdominal wall abnormality. Starting in the sixth week of development, fast gut elongation and increasing hepatic volume restrict an area within the abdomen, pushing loops of intestines exiting the abdominal cavity. Around 15% of live children with omphalocele are affected by chromosome abnormalities.
Clinical findings: Swelling over abdomen, protrusion above umbilicus.
Diagnostic evaluation and blood test: HB-19.4%, Total RBCs Count-5.57 million/cubic mm, Total WBCs Count-22900/cubic mm, Total Platelet Count-2.62/microliter, RDW-17.6%, MCV-105.7%
Peripheral smear: RBCs-Normocytic Normochromic, Platelets-Adequate to smear, TLC-22.9 cells/cu mm, ANC-17.175 cells/cu mm, No band forms seen.
Histopathology report: Omphalocele sac with umbilical cord, Content of omphalocele sac. Operation: Omphalocele repair done.
Therapeutic intervention: Inj. Piptaz 260 mg IVx BD, Inj. Amikacin 40 mg IVx OD, Inj. Mertrogyl 20 mg IVx TDS, Glycerin suppository x TDS.
Outcome: After treatment and surgery, the new-born show improvement. No complaint of hypoglycaemia is seen. No sign of respiratory distress.
Conclusion: This patient was hospitalised in Paediatric ward with an omphalocele and a complaint of protrusion above the umbilical cord. His health began to improve when he received proper therapy that is repair of omphalocele done.