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Omphalocele - Coggle Diagram
Omphalocele
Signs/Symptoms
Can be clearly seen; abdominal contents stick out through the belly button area
Typically diagnosed during a prenatal ultrasound
Liver or spleen may stick out of the body as well
possible: slow growth prior to birth, underdeveloped lungs, small abdomen, feeding issues, gastrointestinal problems
Pathology
congenital defect resulting in failure of embryonic development; occurs when there is a failure of the caudal or lateral in-folding of abdominal wall during 3rd week of gestation
Potential complications
Infection
Especially if lining covering the organ breaks
Poor lung development
Heart malformations
Chromosomal abnormalities
Beckwith-Wiedeman Syndrome: condition with large tongue, high insulin and low blood sugar
Respiratory insufficiency
Feeding problems
Failure to grow and develop normally
Clinical Manifestations
protrusion of intestinal contents through the umbilicus/umbilical cord
usually covered by a thin sac
Treatments
deliver baby by c-section, after birth cover with sterile saline soaked gauze, thermoregulation, hydration, pain management, silastic silo (silicone pouch), intubation, nutrition, ng/og placement,surgical repair
Nursing Interventions
careful positioning and handling to prevent rupture of the sac
Viscera should be protected with moist dressings
thermoregulation and attention to adequate fluid volume due to heat and loss from the exposed viscera during preoperative period
Fluid replacement is vital
Post operative:
monitor for s/s of complications
assess bowel function
pain management: opiod use as prescribed is important
