What is an omphalocele?
An omphalocele is a birth defect, which is an abnormality that occurs before birth as a fetus is forming in its mother's uterus. Some of the abdominal organs protrude through an opening in the abdominal muscles in the area of the umbilical cord. A translucent membrane covers the protruding organs.
The omphalocele may be small, with only a portion of the intestine protruding outside the abdominal cavity, or large, with most of the abdominal organs (including intestine, liver and spleen) present outside the abdominal cavity. Further, the abdominal cavity itself may be small due to underdevelopment during pregnancy.
What causes an omphalocele?
As a fetus is growing in its mother's uterus before birth, different organ systems are developing and maturing. Between the 6th and the 10th weeks of pregnancy, the intestines actually project into the umbilical cord as they are growing. By the 11th week of development, the intestines should return to the abdomen. When the fetus is growing and developing during pregnancy, there is a small opening in the abdominal muscles that the umbilical cord can pass through, connecting the mother to the baby. As the fetus matures, the abdominal muscles should meet in the middle and grow together, closing off this opening. An omphalocele occurs when the abdominal organs do not return to the abdominal cavity as they should.
It is not known what causes omphalocele. Steps that normally happen in the development of the abdominal organs and muscles simply did not happen properly. It is not known to be caused by anything the mother did during pregnancy.
Who is at risk for developing an omphalocele?
When an omphalocele is isolated (no other birth defects are present), the risk for it to happen in a future pregnancy is one percent or one in 100. There are some families that have been reported to have an omphalocele inherited as an autosomal dominant or X-linked recessive trait. In these cases, the chance for reoccurrence would be higher.
Many babies born with an omphalocele also have other abnormalities. The chance for reoccurrence depends upon the underlying disorder:
- Thirty percent have a chromosomal (genetic) abnormality, most commonly Trisomy 13, Trisomy 18, Trisomy 21, Turner syndrome or triploidy.
- Some infants with omphalocele have a syndrome known as Beckwith-Wiedemann syndrome.
- More than two-thirds of babies with omphalocele have abnormalities of other organs or body parts, most commonly the spine, digestive system, heart, urinary system and limbs.
How often does an omphalocele occur?
A "small" type omphalocele (involving protrusion of a small portion of the intestine only) occurs in one out of every 5,000 live births.
A "large" type omphalocele (involving protrusion of the intestines, liver and other organs) occurs in one out of every 10,000 live births.
Omphalocele occurs relatively equally in boys and girls.
Why is an omphalocele a concern?
Since some or all of the abdominal organs are outside the body, infection is a concern, especially if the protective membrane around the organs breaks. Also, an organ may lose its blood supply if it becomes pinched or twisted. A loss of blood flow can damage the affected organ.
How is an omphalocele diagnosed?
Omphalocele can often be detected on fetal ultrasound in the 2nd and 3rd trimester of pregnancy. A fetal echocardiogram (ultrasound of the heart) may also be done to check for heart abnormalities before the baby is born. An ultrafast MRI (magnetic resonance imaging test) might also be done before the baby is born to check for liver or lung problems.
After birth, the omphalocele can be noted by the physician during the physical examination. X-rays (diagnostic tests which use invisible electromagnetic energy beams to produce images of internal tissues, bones and organs onto film) might also be done after birth to evaluate abnormalities of other organs or body parts.
Treatment for an omphalocele:
Specific treatment for an omphalocele will be determined by your child's physician based on the following:
- The extent of the problem.
- The overall health of the baby and medical history.
- The opinion of the surgeon and other physicians involved in the baby's care.
- Your opinion and preference.
For a "small" omphalocele (only a portion of the intestine protruding outside the abdominal cavity), shortly after birth, an operation is done to return the organs to the abdomen and close the opening in the abdominal wall.
For a "large" omphalocele (most of the abdominal organs, including intestine, liver and spleen are present outside the abdominal cavity), the repair is done in "stages" and may include the following:
- Initially, sterile, protective sheeting is placed over the abdominal organs.
- Because the abdomen may be small and underdeveloped, it may not be able to hold all of the organs at once. Therefore, the exposed organs are gradually moved back into the abdomen over several days or weeks.
- The abdominal wall is closed surgically once the organs have been returned to the abdominal cavity.
Because the abdominal cavity may be small and underdeveloped and the organs may be swollen, a baby with an omphalocele may have breathing difficulties as the organs are returned to the abdomen. Your child may need help from a breathing machine called a ventilator while the swelling is decreasing and the size of the abdominal cavity is increasing.
What is the long-term outlook for a baby born with an omphalocele?
Problems in the future often depend on:
- The size of the omphalocele.
- If there were a loss of blood flow to part of the intestine or other organs.
- The extent of other abnormalities.
Babies who had damage to the intestines or other abdominal organs may have long-term problems with digestion, elimination and infection.
Consult your child's physician regarding the prognosis for your child.