Exomphalus

Comment

Comment by saeed rad on November 12, 2008 at 11:26am

As you have noticed this case consists of a neonate and fracture of the thigh is a delivery accident not related to omphalocele at all. Another Fx is found in the humerus, but the insufficiency of the ulna at the forearm is an anomaly most probably associated with omphalocele. Thanx for comment.

Comment by M Taharul Alam on November 12, 2008 at 1:20am

Omphalocele may be associated with other anomalies but not the fractures. Would U please make me further wise? Thanx.

Comment by saeed rad on November 12, 2008 at 12:58am

Your clinical observation is perfect but the problem is : peritoneum is not seen on the plain films of the children. Herniated content pushes the cord aside on the radiography. Thanx for your comment.

Comment by M Taharul Alam on November 11, 2008 at 9:48pm

Thanx sir, As i understand umbilical cord insertion should be over the peritoneally covered herniated(midline) intraabdominal contents in Omphalocele/Exomphalus and the cord insertion shoud be in the normal position in Gastroschisis ( herniated content are lacking peritoneal covering through paramedian area)

Comment by saeed rad on November 11, 2008 at 11:53am

Yes sir UR right but this one is uploaded for you just to show the difference between the exophalus and gastroschisis. In the first one the insertion of the umbilical cord is in the middle of the physiological hernia during the 1st phase of GI rotation, but in the second one the umbilical insertion is found at the side of the protuberance.

Comment by M Taharul Alam on November 11, 2008 at 11:25am

There are multiple bony fractures also.

Comment by saeed rad on November 11, 2008 at 11:13am

Thanx for the comment, it is my pleasure you like it.

Comment by Dr. Mohamed Refaey on November 11, 2008 at 4:54am

I agree, very interesting..

Comment by radRounds Radiology Network on November 10, 2008 at 11:29pm

Very interesting and unique cases.