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Congenital abdominal wall defects
  1. Anu Susan Varghese,
  2. Sarah Vause,
  3. Susan R Kamupira,
  4. Anthony J B Emmerson
  1. Department of Neonatology and Obstetrics, St. Mary's Hospital, Manchester, UK
  1. Correspondence to Dr Anu Susan Varghese, Department of Neonatology and Obstetrics, St. Mary's Hospital, Oxford Road, Manchester M13 9WL, UK; anu.susan.varghese{at}cmft.nhs.uk

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Background

A 24-year-old Caucasian, nulliparous woman had an abnormal antenatal ultrasound scan at 14 weeks gestation (see figure 1). A repeat scan at 20 weeks confirmed the findings. A fetomaternal medicine consultant counselled parents. At 33+5 weeks gestation, she delivered a 1.9 kg male infant by caesarean section for fetal distress following spontaneous preterm labour.

QUESTION 1

What is the anomaly seen?

A. Bladder exstrophy

B. Abdominal wall defect

C. Umbilical hernia

Figure 1

14 weeks antenatal scan (arrow).

You are the paediatric registrar on call and have been called to attend the delivery of the baby. You arrive with the neonatal team. A pink, crying baby is brought to the resuscitaire (see figure 2). No scars or other anomalies are visible.

QUESTION 2

What would be your next course of action?

A. Baby to remain with mother and allowed to feed

B. Admit to neonatal intensive care unit (NICU) and allow to …

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