What is the role of imaging studies in the workup of pediatric omphalocele and gastroschisis (abdominal wall defects)?

Updated: Nov 05, 2019
  • Author: James G Glasser, MD, MA, FACS; Chief Editor: Dharmendra J Nimavat, MD, FAAP  more...
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Answer

In utero ultrasonography may demonstrate a structural defect that is associated with a karyotypic abnormality. [38] If a genetic abnormality is suspected in the infant, it should be confirmed with amniocentesis.

Fetal echocardiography may identify a cardiac abnormality.

If serial ultrasonography shows dilatation and thickening of the intestine in a baby with gastroschisis, delivery should occur as soon as amniocentesis demonstrates lung maturity.

Appropriate tests to determine other congenital anomalies should precede surgical intervention in infants with omphaloceles.

See the Medscape Drugs and Diseases topics Gastroschisis Imaging and Omphalocele Imaging.


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