Onfalocele: Prognóstico Fetal em 51 Casos com Diagnóstico Pré-Natal

Mustafá, Samir Aldalla; Brizot, Maria de Lourdes; Carvalho, Mário Henrique Burlacchinite; Okumura, M.; Toro, Lilian Patroni; Silva, Marcos Marques; Zugaib, Marcelo

doi:10.1590/s0100-72032001000100005

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…Various theories have been suggested to clarify its origin. Mustafa et al (2001) associated cases of omphalocele with extensive liver herniation and intestinal loops as a result of disruption in the development of lateral flaps and failure in the closure of the wall, around the third or fourth week of embryonic life. In the present study the calf presented an extensive omphalocele, whose content was composed of the liver covered with amniotic membrane, corroborating the statements of these authors.…”

Section: Discussionmentioning

confidence: 99%

Partial hepatectomy in a calf with an omphalocele: case report

Lucas

Panelli

Neto

et al. 2016

Arq. Bras. Med. Vet. Zootec.

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An omphalocele is a defect in the closure of the abdominal wall during the embryonic stage, preventing the return of some abdominal organs to the cavity. In stillborn animals, the involvement of the liver in the omphalocele has been reported. The aim of the present study is to report the success of a partial liver resection in a female bovine at two days of age which presented an omphalocele at birth. Surgical intervention was indicated to reduce and suture the abdominal wall. During the surgical procedure, the presence of hard, reddish tissue was noted inside the sac covered by the amniotic membrane, with characteristics consistent with hepatic parenchyma. Due to the impossibility of reducing the contents added to the suggestion of tissue infection, we elected to perform a partial resection. The histopathological examination confirmed that the resected tissue was of the hepatic parenchyma. Antibiotic and systemic anti-inflammatory therapies were performed post-surgery. Fifteen days after surgery, infection was detected at the surgical site in addition to abdominal wound dehiscence; surgical reintervention was performed. On physical examination, carried out 4 months after the second operation, the heifer presented normal development for the species. In conclusion, omphalocele may contain liver. Ectopic liver is an extremely rare condition. Surgical treatment in the presented case focused on umbilicus with exploration of the abdominal cavity appeared to be sufficient.

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Section: Discussionmentioning

confidence: 99%