Fetal omphalocele symptoms?

summary

Omphalocele belongs to neonatal emergency symptoms. If the patient feels unwell, he should go to the hospital for diagnosis and treatment immediately. It is suggested that the parents of the child should take the child for surgery as soon as possible to avoid delaying the operation effect. Today, let me learn about fetal omphalocele with you?.

Fetal omphalocele symptoms?

First, the diameter of the defect ring of the abdominal wall of the giant omphalocele is more than 5cm, sometimes more than 10cm, and the diameter of the bulge part is often larger, which can protrude in the center of the abdomen like a steamed bun, and the umbilical cord is connected to the top of the capsule. In addition to the small intestine and colon, there are also liver, spleen, pancreas and even bladder. After 6-8 hours, due to the lack of blood supply and exposure to air, the capsule became turbid and edematous.

Second: after 2-3 days, it becomes dry and fragile, ruptured or even necrotic. Rupture of the capsule wall can lead to abdominal infection and prolapse of the viscera. In severe cases, it can lead to death, so it should be treated early and timely. About 1% of the children suffered from visceral prolapse due to rupture of the capsule before or during labor. Once the capsule is ruptured in the uterus, the prolapsed organs are soaked in amniotic fluid for a long time, the intestinal wall is swollen and thickened, the surface is dull, and there are inflammatory exudates covering the surface. There are a lot of meconium colored cellulose on the surface, secondary abdominal infection and high mortality. If the capsule is ruptured during delivery, the color of viscera and intestines is bright red, and there is no yellow cellulose cover, emergency treatment can save the child. Although the rupture time of the capsule is different, the residual capsule can be found. The skin at the base of the capsule can crawl along the surface of the capsule and eventually form connective tissue under the capsule scab to cover the surface of the capsule.

Third: the diameter of small omphalocele abdominal wall defect ring is less than 5cm, protruding in the center of the abdomen, such as orange, or even olive like tumor, because the diameter of the bulge is often larger than the abdominal wall defect ring, so it can form a pedicle like substance in the center of the abdomen. Most of the contents of the capsule are only small intestine, sometimes transverse colon. If the umbilicus is enlarged during delivery, ligation should be performed above the umbilical cord to prevent intestinal necrosis caused by ligation of the intestinal tube.

matters needing attention

(1) According to the condition evaluation: Wu Liankang et al. Divided the omphalocele into critical type and common type; Respiratory distress at birth; Capsular rupture and visceral prolapse infection; Fatal malformation (2) according to birth weight and associated malformation evaluation: Rickham studied the three groups of birth weight and associated malformation, and found that they were closely related to mortality.