Congenital abdominal wall hypoplasia

Introduction Umbilical bulging is the most common congenital abdominal wall malformation. Umbilical bulging is a congenital malformation characterized by congenital abdominal wall hypoplasia, defect around the umbilical cord, and exfoliation of the abdominal viscera.

Cause

The cause is still unclear, and some scholars believe that the disease has a family tendency.

an examination

Related inspection

Abdominal shape examination abdominal skin examination abdominal wall reflex abdominal wall tension abdominal CT

The abdominal organs are removed from the defect of the abdominal wall of the umbilical cord, and the length is generally between 3-15 cm. The umbilical cord is at the top of the umbilicus. The capsule composed of the peritoneum and the amniotic membrane is intact and covers the transmucosal capsule. You can see the organs (mostly the small intestine, colon and liver), so it is commonly called "glass belly", sometimes the capsule can be broken and the organ protrudes from the rupture. According to the clinical observation, the diagnosis can be confirmed.

Differential diagnosis

Umbilical abdominal wall defect: umbilical bulge is due to the development of defects in the abdominal abdomen and umbilical peritoneal wall of the embryo at 6 to 10 weeks, skin, muscle and fascia defects, resulting in delayed or even disappearance of fetal physiological midgut, abdominal cavity content The object protrudes outside the abdominal wall of the umbilical cord, and the surface covers the peritoneum and the amniotic membrane. Ultrasound has a high diagnostic rate for umbilical bulging, and it can determine its extent and guide further treatment. After the diagnosis, the fetus is determined depending on the situation. If the fetus has no chromosomal abnormalities, the bulging mass is small, and the surgery is repaired after the birth, and good results can be obtained.

Central line defect of the upper abdominal wall: physical examination of the sternal fissure can be seen in the upper, lower or all of the sternal area with soft tissue fissures, and can touch the pulsation of the blood vessels. Cantrell syndrome also shows central line defects in the upper abdominal wall, pericardial defects adjacent to the diaphragm, and various types of cardiac malformations. Children often have abnormal breathing, cyanosis, difficulty breathing, and repeated respiratory infections. Physical examination revealed that there were soft tissue fissures in the upper, lower or all of the sternal region and could touch the pulsation of the blood vessels. Cantrell syndrome also shows central line defects in the upper abdominal wall, pericardial defects adjacent to the diaphragm, and various types of cardiac malformations.

Congenital abdominal wall muscle dysplasia refers to the dysplasia of the anterior abdominal wall muscle is a rare congenital malformation. Poor respiratory function, there are other malformations, such as anal atresia, umbilical tract end closure.

Extensive calcium deposition in the abdominal wall: Interstitial calcinosis is a soft tissue calcification, often located outside the joints, characterized by abdominal skin, subcutaneous tissue, muscles, tendons, tendon sheaths, perivascular or localized or diffuse Calcium is calm. The symptoms of this disease are acute abdomen and intra-abdominal hemorrhage.

The abdominal organs are removed from the defect of the abdominal wall of the umbilical cord, and the length is generally between 3-15 cm. The umbilical cord is at the top of the umbilicus. The capsule composed of the peritoneum and the amniotic membrane is intact and covers the transmucosal capsule. You can see the organs (mostly the small intestine, colon and liver), so it is commonly called "glass belly", sometimes the capsule can be broken and the organ protrudes from the rupture. According to the clinical observation, the diagnosis can be confirmed.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.