Abstract
We report the progress of a female survivor of ruptured giant exomphalos over 32 years.
Two-stage repair was performed at birth, resulting in a giant ventral hernia, which
was repaired at 31 months. She developed gross benign ascites at 24 years, not previously
described in association with congenital abdominal wall defects. This was associated
with a misleading radiologic finding of a complex ovarian cyst and led to laparotomy.
There were dense adhesions. Benign ascites and loculated pelvic fluid were drained,
but the ovaries appeared healthy. A further laparotomy was performed for acute abdominal
pain 2 years later. She subsequently had a successful pregnancy complicated by urinary
retention. The abdomen expanded without difficulty, unlike the only other such case
reported in the literature. A healthy baby girl was delivered by cesarean section
at 37 weeks' gestation, which was necessary because of a footling breach presentation.
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References
- Morbidity and quality of life in adult patients with a congenital abdominal wall defect: a questionnaire survey.J Pediatr Surg. 2002; 37: 1594-1601
- A 24-year follow-up of a large omphalocele: from silon pouch to pregnancy.J Pediatr Surg. 1990; 25: 1190-1193
- Abdominal wall defects.Curr Opin Pediatr. 2002; 14: 491-497
Article info
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Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
