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 Vol. 9 No. 8, August 2008
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NeoReviews Vol.9 No.8 2008 e338
© 2008 American Academy of Pediatrics

Challenges of Giant Omphalocele

From Fetal Diagnosis to Follow-up

Alexis S. Davis, MD*
Yair Blumenfeld, MD{dagger}
Erika Rubesova, MD{ddagger}
Claire Abrajano, MD§
Yasser Y. El-Sayed, MD{dagger}
Sanjeev Dutta, MD§
Richard A. Barth, MD{ddagger}
Susan R. Hintz, MD*

* Department of Pediatrics
{dagger} Department of Obstetrics and Gynecology
{ddagger} Department of Radiology
§ Department of Surgery, Stanford University School of Medicine, Palo Alto, Calif

Advances in the diagnosis of congenital defects have led to the development of a multidisciplinary approach to prenatal counseling and postnatal management. New techniques in fetal imaging, including magnetic resonance imaging (MRI), provide clinicians with better anatomic detail of such anomalies. This added information facilitates frank prenatal discussions with families, anticipating challenges in delivery room resuscitation and planning of postnatal care. In this report, we review three cases of giant omphalocele (GO) at our institution, highlighting the changes in practice management for prenatal diagnosis and consultation. We discuss controversies regarding mode of delivery and describe the evolution toward an initial nonsurgical approach to GO.


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Copyright © 2008 by the American Academy of Pediatrics.