Abdominal Wall Defects Flashcards Preview

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Flashcards in Abdominal Wall Defects Deck (6)
0

Omphalocele

Abdominal wall defect in midline
Continuous with umb cord
Surrounded by membrane.
Ascites, polyhydramnios, dec AC
Liver involved.
Inc MSAFP or norm
50% assoc with anomalies & aneuploidy
100% mortality if with aneuploidy

1

Gastroschisis

Free floating bowel in amniotic fluid
CI to the left of defect
No membrane
Dec AC
Not assoc to anything
Good prognosis

Inc MSAFP!!

2

Ectopia Cordis

Defect lower sternum and abd wall
❤️ protrudes into extrathiracic sac
Beating ❤️through ant abd wall
Lethal

3

Bladder Extrophy

Defect of Lower abd wall and ant bld
-fluid filled intrapelvic bladder with extra pelvic mass
-no fluid filled bladder

Assoc: incontinence, male infertility, uterine prolapse, bld cancer

Cloacal Extrophy : bigger

4

Amniotic Band Syndrome / ADAM complex / amniotic deformities adhesions mutilation

Range of malformations
Bands stick and entangle fetus
Assoc anomalies

Assoc with amniocentesis, IUD, trauma

Limbs: amputation, Clubfoot, edema
Cranium: encephalocele, anencephaly
Face: cleft, asymmetry, micropthalmos
Thorax: rib cleft
Spine: scoliosis
Abd wall: Gastroschisis, omphalocele, bld Extrophy
Perineum: ambiguous genitalia, imperforate anus

5

Limb Body Wall Complex / Short Umbilical Cord Syndrome / Body Stalk Anomaly

Fail of closure of ventral body wall

Short/absent umbilical cord
Severe scoliosis
Disruption of lateral body wall, spine, limbs, face, cranium

Lethal