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Published on: November 30, 2010
Surgical Management of Omphalocele With Concurrent Ileal Atresia: A Case Report
Sai Goutham Rekavari1, Kiran Khedkar2, Chanrashekhar Mahakalkar1
1General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
This case study highlights the successful surgical management of a neonate with omphalocele and ileal atresia. Prompt intervention and expert care ensured a positive outcome for this complex congenital anomaly.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Congenital Anomalies
Background:
- Omphalocele involves abdominal organs protruding through the umbilical ring.
- Concurrent anomalies, like intestinal atresia, complicate surgical treatment.
- Neonatal surgical management requires specialized care and multidisciplinary collaboration.
Observation:
- A female infant presented with omphalocele and ileal atresia.
- Preoperative assessment indicated intestinal obstruction.
- Intraoperative findings confirmed the need for omphalocele reduction and atresia resection.
Findings:
- The infant underwent successful surgical correction of both omphalocele and ileal atresia.
- Postoperative care in the neonatal intensive care unit facilitated recovery.
Implications:
- Timely surgical intervention is crucial for managing complex neonatal congenital anomalies.
- Multidisciplinary collaboration improves outcomes in challenging pediatric surgical cases.
- This case reinforces best practices for omphalocele and intestinal atresia management.
Abstract:
Omphalocele, a congenital anomaly characterized by the protrusion of abdominal viscera through the umbilical ring, often presents challenges in surgical management, especially when concurrent with other anomalies such as intestinal atresia. We presented a case of a female infant weighing 2.6 kg born with omphalocele and concurrent ileal atresia. The child was successfully managed through prompt surgical intervention. Preoperative investigations revealed signs suggestive of intestinal obstruction, necessitating immediate surgical exploration. Intraoperatively, meticulous reduction of the omphalocele sac and resection of the atretic segment were performed. Postoperative care in the neonatal intensive care unit ensured optimal recovery. This case underscored the importance of timely intervention and multidisciplinary collaboration in managing complex congenital anomalies in neonates.
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