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Infant Born with Abdominal Wall Defect

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Abstract

An infant at 39-week gestation is born to a thin 19-year-old Caucasian grava-1, para-0 woman with no prior medical history. Her body mass index (BMI) is 20. She quit smoking when she discovered she was pregnant. The pregnancy was uncomplicated. Prenatal maternal laboratory studies were significant for an elevated serum alpha-fetoprotein (AFP) level. Prenatal ultrasound examinations showed a fetus with free loops of intestine present in the amniotic cavity extruding through a small abdominal defect lateral to the base of the umbilical cord. The infant’s APGAR scores are 8 and 9 at birth and 5 min later, respectively. Vital signs are within normal limits. The abdomen is scaphoid with loops of matted and inflamed small bowel protruding from a defect to the right of the umbilicus.

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Suggested Reading

  • Henrich K, Huemmer HP, Reingruber B, Weber PG. Gastroschisis and omphalocele: treatments and long-term outcomes. Pediatr Surg Int. 2008;24(2):167–73.

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    Article  CAS  Google Scholar 

  • Sadler TW. The embryologic origin of ventral body wall defects. Semin Pediatr Surg. 2010;19(3):209–14.

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Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, University of Nebraska Medical, Children’s Hospital and Medical Center of Omaha, Omaha, NE, USA

    Justin P. Wagner

  2. Department of General Surgery, UCLA, Los Angeles, CA, USA

    Rivfka Shenoy

  3. Pediatric Surgery, Department of Surgery, UCLA Mattel Children’s Hospital, Los Angeles, CA, USA

    Steven L. Lee

Authors
  1. Justin P. Wagner
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  2. Rivfka Shenoy
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  3. Steven L. Lee
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Corresponding author

Correspondence to Justin P. Wagner .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Christian de Virgilio

  2. Department of Surgery, Suite 1600, University of California, Ivine, Orange, CA, USA

    Areg Grigorian

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Wagner, J.P., Shenoy, R., Lee, S.L. (2020). Infant Born with Abdominal Wall Defect. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_37

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  • DOI: https://doi.org/10.1007/978-3-030-05387-1_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05386-4

  • Online ISBN: 978-3-030-05387-1

  • eBook Packages: MedicineMedicine (R0)

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