Dystocia - Omphalocele

 Omphalocele 

     An omphalocele is a congenital protrusion of part of the abdominal viscera through a defect in the abdominal wall at the umblicus, which is covered by amnion or sometimes it may rupture.

    Synonym - Abdominal fissure, Umbilical eventrations, congenital umblical hernia and Exomphalos.

    Condition should be differentiated from ventral hernia.

    During early stages of fetal development the intestines rest partly within the extra embryonic celom of umblical cord.

     Later body wall encloses the area and the intestine are internalized.

     Failure of the intestines to return or failure of one of the four body folds to migrate result in omphalocele.

     Omphalocele are morphologically intermediate in severity between Umbilical hernia and Schistosoma reflexus.