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Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a female born electively at 38 weeks gestation with a large anterior abdominal wall defect that was diagnosed by prenatal ultrasound at 20 weeks. She also had a ventricular septal defect via echocardiography.
Images 1 and 2
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film from the first day of life showed a large omphalocele.
Imaging Differential Diagnosis:
On the second day of life the patient underwent repair of the omphalocele defect. It could not be closed primarily. A Silon mesh silo was placed and progressively tightened over several days. A final closure of the anterior abdominal wall defect was performed on the eleventh day of life.
Follow-up and Prognosis:
The patient developed pyloric stenosis post operatively which was treated surgically on the fortieth day of life.
Case 3, Case 19, Case 25
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