Giant Omphalocele Complicated by Postoperative Duodenal Obst
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Omphalocele is a congenital defect in the abdominal wall, usually treated at birth or within 1-2 years of life depending on condition of patient and size and contents of the defect. When omphalocele defect is larger than 5-6cm, or most of the liver is protruding into the sac, it is termed as giant omphalocele. Treatment options for giant omphalocele include, initial non-operative management and then delayed repair between 6 months to 1 year of age and staged repair using silastic patch over 2-month period. Giant omphalocele can be repaired using mesh or tissue expanders. We present a case inwhich a giant omphalocele was repaired without mesh in a 9-year-old girl. She developed duodenal obstruction in the postoperative period requiring another laparotomy and duodeno-jejunostomy to bypass obstruction....

http://www.apspjcaserep.com/ojs/index.php/ajcr/article/view/518/385
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