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Case Reports
. 2015 Jan;3(1):19-23.
doi: 10.1002/ccr3.137. Epub 2014 Sep 15.

A successful early gore-tex reconstruction of an abdominal wall defect in a neonate with Cantrell pentalogy: a case report and literature review

Dalibor Divkovic  1 , Slavica Kvolik  2 , Mirna Sipl  3 , Krunoslav Sego  1 , Silvija Puseljic  3 , Andreja Rakipovic-Stojanovic  2 , Borna Kovacic  1
Affiliations
Case Reports

A successful early gore-tex reconstruction of an abdominal wall defect in a neonate with Cantrell pentalogy: a case report and literature review

Dalibor Divkovic et al. Clin Case Rep. 2015 Jan.

Abstract

A surgical technique, materials used for abdominal wall reconstruction, and postoperative care are important for patient outcomes. We report the first case of neonate with Cantrell's pentalogy surviving early reconstruction of abdominal, diaphragmal and pericardial defects. Several recent investigations suggest that intraabdominal pressure monitoring may improve outcomes in this patient category.

Keywords: Congenital abnormalities; herniorrhaphy; intensive care; intraabdominal hypertension; mesh repair; monitoring; omphalocele; pentalogy of Cantrell.

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Figures

Figure 1
Figure 1
(A) A major omphalocele with liver in the central position. (B) A defect of the ventral part of diaphragm, aplastic lower sternum, defective hypoplastic pericardium, and caudal displacement of heart. (C) A reconstruction of diaphragm with direct stitches after mobilizing the posterior leaf. (D) A polytetrafluoroethylene patch used for the staged abdominal wall reconstruction with pericardial drain and umbilical vein catheter in situ. (E) A scar plate formation below the mesh. (F) A boy at the age of 4. Rectus muscles seem to be retracted with no signs of reherniation.
See this image and copyright information in PMC

References

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