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Giant Omphalocele Complicated by Postoperative Duodenal Obstruction
Sunita Ojha1, Shobha Parashar2, Dharmil Doshi1
1Department of Pediatric Surgery, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur.
Insights
This study reports a rare case of a giant omphalocele repair in a 9-year-old girl without mesh. Postoperative duodenal obstruction required further surgical intervention.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Abdominal Wall Defects
Background:
- Omphalocele is a congenital abdominal wall defect requiring surgical repair.
- Treatment timing and approach depend on defect size and patient condition.
- Giant omphaloceles present unique surgical challenges.
Observation:
- A 9-year-old girl with a giant omphalocele underwent surgical repair without mesh.
- The patient developed postoperative duodenal obstruction.
- A subsequent laparotomy and duodeno-jejunostomy were necessary to relieve the obstruction.
Findings:
- Successful primary repair of a giant omphalocele was achieved without mesh.
- Delayed complications, specifically duodenal obstruction, can occur after omphalocele repair.
- Surgical bypass (duodeno-jejunostomy) effectively addressed the postoperative obstruction.
Implications:
- Mesh-free repair of giant omphaloceles is feasible, but careful monitoring for delayed complications is crucial.
- Duodenal obstruction is a potential, albeit rare, complication following abdominal wall defect repair.
- Early recognition and surgical management of postoperative bowel obstruction are vital for patient outcomes.
Abstract:
Omphalocele is a congenital defect in the abdominal wall, usually treated at birth or within 1-2 years of life depending on condition of patient and size and contents of the defect. We repaired a giant omphalocele without mesh in a 9-year-old girl. She developed duodenal obstruction in the postoperative period requiring another laparotomy and duodeno-jejunostomy to bypass obstruction.
