|Classification and external resources|
An omphalocele (British English: omphalocoele) is a type of abdominal wall defect in which the intestines, liver, and occasionally other organs remain outside of the abdomen in a sac because of a defect in the development of the muscles of the abdominal wall (exomphalos). Omphalocele occurs in 2.5/10,000 births and is associated with a high rate of mortality (25%) and severe malformations, such as cardiac anomalies (50%) and neural tube defect (40%). Approximately 15% of live-born infants with omphalocele have chromosomal abnormalities.
It is normal for the intestines to protrude from the abdomen, into the umbilical cord, until about the tenth week of pregnancy, after which they return to inside the fetal abdomen.
The omphalocele can be mild, with only a small loop of intestines present outside the abdomen, or severe, containing most of the abdominal organs. In severe cases surgical treatment is made more difficult because the infant's abdomen is abnormally small, having had no need to expand to accommodate the developing organs.
Caused by malrotation of the bowels while returning to the abdomen during development. Some cases of omphalocele are believed to be due to an underlying genetic disorder, such as Edward's syndrome (Trisomy 18) or Patau Syndrome (Trisomy 13).
Gastroschisis is a similar birth defect, but in gastroschisis the umbilical cord is not involved and the lesion is usually to the right of midline. Parts of organs may be free in the amniotic fluid, and not enclosed in a membranous (peritoneal) sac. Gastroschisis is less frequently associated with other defects than omphalocele.
International Omphalocele Awareness Day
International Omphalocele Awareness Day is celebrated annually on January 31st, as part of Birth Defect Awareness Month. The first "O" Awareness Day was in 2012. Participants wear black and white, the color of the MOOs - Mothers of Omphaloceles, in an effort to raise awareness and support for omphalocele, and many share facts and information through e-mail, Facebook, Twitter,and Blogs.
MOO - Mothers of Omphaloceles - The Mothers of Omphaloceles is support group for parents, grandparents, and families of children born with omphalocele, as well as individuals born with omphalocele themselves. They can be found both through Yahoo Groups and on Facebook.
- MOO - Mothers of Omphaloceles [Facebook]
- Mothers of Omphaloceles [Yahoo Groups]
- Omphalocele Awareness
- Kanagawa SL, Begleiter ML, Ostlie DJ, Holcomb G, Drake W, Butler MG (2002). "Omphalocele in three generations with autosomal dominant transmission". J. Med. Genet. 39 (3): 184–5. doi:10.1136/jmg.39.3.184. PMC 1735073. PMID 11897819.
- Yatsenko SA, Mendoza-Londono R, Belmont JW, Shaffer LG (2003). "Omphalocele in trisomy 3q: further delineation of phenotype". Clin. Genet. 64 (5): 404–13. doi:10.1034/j.1399-0004.2003.00159.x. PMID 14616763.
- The Brown Fetal Treatment Program - Providence, Rhode Island at Brown University
- Fetal Treatment Center: Omphalocele at UCSF