Giant Omphalocele in an Adolescent Boy
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Abstract :
Omphalocele is a congenital abdominal wall defect that permits herniation of abdominal viscera into the umbilical cord. We here report a case of a giant omphalocele in an adolescent boy that has not been reported at this age before.

Case :
A 15-year-old boy presented to us with history of swelling over the anterior abdominal wall since birth. On examination, there is a well-epithelialized, eschar-covered omphalocele measuring 35?×?25 cm. In addition, there was an accessory soft tissue projection on the chest wall with laterally placed right nipple and poorly developed right pectoral muscles (Fig. 1). Contrast-enhanced CT abdomen revealed whole of liver lying outside the abdomen under the eschar. Echocardiogram done was normal. On surgical exploration, the whole of the liver was lying outside, which was globular (Fig. 2). After mobilizing both the recti muscles, anatomical repair of the abdominal wall was done without tension (Fig. 3).....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484536/
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