Case report
Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane
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* Corresponding author: Gamedzi K Akakpo-Numado akanugregoire@yahoo.fr
1 Department of pediatric surgery, Tokoin Teaching Hospital, BP: 57, Lomé, Togo
2 Department of visceral surgery, Tokoin Teaching Hospital, BP: 57, Lomé, Togo
3 Department of pediatric surgery, Tokoin Teaching Hospital, 08 BP 80025, Lomé 8, TOGO
Annals of Surgical Innovation and Research 2012, 6:2 doi:10.1186/1750-1164-6-2
Published: 12 February 2012Abstract
Background
The rupture of a huge omphalocele is an emergency that threatens the newborn baby's life. It constitutes a therapeutical concern in the absence of prosthesis especially in developing countries.
Methods
We are reporting herein the case of a newborn baby that we managed in emergency successfully thanks to a simple treatment.
Results
It was a huge omphalocele, ruptured during delivery, in a male newborn baby. We conducted a simple and conservative surgical treatment without prosthesis, which consisted of reconstruction of the omphalocele's membrane by closing it with absorbable suture materials. The suture of the omphalocele's membrane was followed by treatment with the Grob's method. This treatment saved the newborn baby's life. The total skinning was obtained after 3 months.
Conclusions
In case of rupture of huge omphalocele in absence of prosthesis, it is better to suture the membrane, and continue the treatment according to the Grob's method; the residual disembowelment can be repaired later.