A report on omphalocele and associated congenital deformity with intrauterine death: need for early diagnosis

Abstract

Omphalocele, a type of anterior abdominal wall defect, is a rare congenital deformity that is infrequently reported, which leads to the emergence of interventions that could be carried out for a better holistic management, for the baby, mother, and the family. We report a case of single dead fetus of 24 weeks gestational age delivered by a 25‑year‑old primigravida. On examination, it was observed and diagnosed that the baby presented with extrusion of multiple abdominal organs through a midline breach in the continuity of anterior abdominal wall suggesting it to be a case of omphalocele. It had other associated congenital deformities. Of all the investigations, ultrasonographic assessment of fetal structure and well‑being is most reliable along with other investigations like genetic screening. The lack in the proper antenatal examination and infrequent routine checkups leads to a large proportion of undiagnosed cases. Proper diagnostic measures and awareness will bring a marked reduction in perinatal morbidity and mortality and avoidance of stigma faced by the patients.