Importance of the Early Management of Omphalocele Minor

Omphalocele is a central defect of umbilical ring, resulting in persistent herniation of the abdominal content. The midgut, positioned in umbilical cord, rotates 90°counterclockwise around the superior mesenteric artery.

At 10 weeks of gestation, intestines return to the abdomen. The small intestines return first, followed by large intestines, which complete an additional 180° counterclockwise rotation. After the intestines return to the abdomen, they enlarge, lengthen, and fuse to the abdominal cavity. The abdominal wall then closes and the body stalk constricts to become umbilical cord. Omphalocele results due to either the developmental arrest of the abdominal wall or failure of the abdominal viscera to return to the abdominal cavity. Read more>>>>>>>>>>>>>>