title: Omphalocele major with absent lower limb.
abstract: A newborn delivered by Caesarian section presented with an absent anterior abdominal wall and visible bowel loops and liver. The defect was covered by a thin membrane. The patient had associated absent left lower limb and right foot fusion defect. The patient was haemodynamically stable; general condition was average. No genito-urinary abnormality was detected. The anal opening was present normally, and the patient passed meconium immediately after birth. A diagnosis of omphalocele major with amelia was made. The patient was initially managed by topical application of povidone-iodine for eschar formation and epithelisation of the sac. The patient was discharged after 1 week with advice for regular follow-up.
authors.affiliation: Dept of Paediatric Surgery, SMS Medical College and Associated SPMCHI, Jaipur, 302004 India.
authors.forename: Vijay Kumar
authors.initials: VK
authors.lastname: Kundal
authors.affiliation: Dept of Paediatric Surgery, SMS Medical College and Associated SPMCHI, Jaipur, 302004 India.
authors.forename: Mufique
authors.initials: M
authors.lastname: Gajdhar
authors.affiliation: Dept of Anaesthesia, SMS Medical College and Associated SPMCHI, Jaipur, India.
authors.forename: Raksha
authors.initials: R
authors.lastname: Kundal
authors.affiliation: Dept of Paediatric Surgery, SMS Medical College and Associated SPMCHI, Jaipur, 302004 India.
authors.forename: Reyaz
authors.initials: R
authors.lastname: Ahmed
authors.affiliation: Dept of Paediatric Surgery, SMS Medical College and Associated SPMCHI, Jaipur, 302004 India.
authors.forename: Leela Dhar
authors.initials: LD
authors.lastname: Agrawal
keywords: Amelia; Omphalocele major
references.citation: Pediatr Surg Int. 2008 Feb;24(2):167-73
references.pmid: 17985136
references.citation: Am J Med Genet A. 2011 Sep;155A(9):2045-59
references.pmid: 21815262
references.citation: Am J Med Genet. 1995 Aug 28;58(2):187-94
references.pmid: 8533813
references.citation: Am J Med Genet. 1987 Nov;28(3):529-48
references.pmid: 2962493
references.citation: Pediatr Surg Int. 2001 Jul;17 (5-6):486-90
references.pmid: 11527200