IMR Press / CEOG / Volume 9 / Issue 3 / pii/1634258087863-2055414442

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Fetal anterior abdominal wall herniations: ultrasonographic diagnosis
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1 Chairman The Department of Radiology Harrisburg Hospital, Harrisburg, PA 17101 (USA)
Clin. Exp. Obstet. Gynecol. 1982, 9(3), 199–206;
Published: 10 September 1982
Abstract

Gastroschisis and omphalocele are congenital abdominal wall herniations. Both are characterized by evisceratin of bowel loops, and additionally, especially in omphalocele, liver and occasionally other organs. The bowel loops present ultrasonographically as cystic masses in relation to the fetal abdomen. Sometimes the walls are thickened due to the inflammation from exposure to amniotic fluid. Ultrasonographic identification of herniated liver (omphalocele) indicates potential complex abnormalities of other organ systems, as opposed to gastroschisis, which is usually an isolated abnormality. The two entities are frequently difficult to distinguish ultrasonographically, and in fact, the surgical treatment is the same for both entities. Early diagnosis will facilitate team planning, and probable Cesarean section to avoid damage to exposed bowel loops. A case of gastroschisis and 2 cases omphalocele are presented.
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