Miguel Sosa-Palaviccini
Universitary Hospital Antonio MarÃa Pineda, Venezuela
Title: Intra uterine treatment of onfalocele. New strategy?
Biography
Biography: Miguel Sosa-Palaviccini
Abstract
Pregnancy with trisomy 18 and hepato omphalocele. Antenatal ultrasound showed longilinear avascular structures inside the umbilical cord and attached to the small intestine within the omphalocele. The insertion of the cord into the fetal omphalocele is lateral, which would allow traction movements as a pulley. Fetus dies from ruptured omphalocele. Stillbirth presents postaxial polydactyly of one foot (not diagnosed antenatally) and tubular structures coming from the umbilical cord attached to the intestine, pulling it firmly until it forming intestinal diverticules. It is postulated that this is the mechanism as the physiological umbilical hernia originates and as the Meckel's diverticulum originates. It is recommended to perform color Doppler ultrasound to any umbilical cord of fetuses with omphalocele. The fetal surgeon could cut these adherences during pregnancy, to allow the intestinal return inside the abdomen