Document Detail

Omphalocele and gastrochisis.
MedLine Citation:
PMID:  12521414     Owner:  NLM     Status:  MEDLINE    
Between January 1989 and November 1996 we detected a total of 44 cases of anterior abdominal wall defects comprising 29 with an omphalocele and 15 with gastrochisis. The gestational age at antenatal diagnosis of gastrochisis (mean = 17 weeks, 95% CI = 15-19) was significantly lower than for omphalocele (mean = 19.0 weeks, 95% CI = 17-21). Whereas gastrochisis tended to occur in relatively younger mothers (mean age = 23 years), omphalocele was associated with a comparatively advanced maternal age (mean age = 28 years). The sensitivity of ultrasound detection was the same for both malformations (omphalocele = 86.2%; gastrochisis = 86.7%). Additional structural anomalies were found in a higher proportion of those with an omphalocele compared with those with gastrochisis (62% vs. 20%). All the three cases of chromosomal anomalies were detected in omphalocele fetuses with an intracorporeal liver. Perinatal mortality was higher, albeit nonsignificantly, among fetuses with omphalocele.
H M Salihu; R Boos; W Schmidt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  22     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2003-01-10     Completed Date:  2003-04-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  489-92     Citation Subset:  IM    
Department of Maternal and Child Health, University of Alabama at Birmingham, AL 35294, USA.
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MeSH Terms
Congenital Abnormalities / etiology
Fetal Diseases / ultrasonography*
Gastroschisis / etiology,  ultrasonography*
Gestational Age
Hernia, Umbilical / etiology,  ultrasonography*
Infant, Newborn
Pregnancy Outcome
Retrospective Studies
Ultrasonography, Prenatal*

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