Greetings listers,

My cousin gave birth to a baby without the abdominal wall formed and
doctors diagnosed it as "Omphalocele with Liver in the Sac" . The other
words I find in the "Diagnosis" section are
HIE Stage 1 , rsp distrers and absent thumb.

Some doctors think the baby should immediately undergo surgery for
Omphalocele and others think baby should be waiting for three months to
allow more growth.
We're really worried if the baby will be able to handle a surgery at
this stage , but it's also a concern that there might be a infection if
we leave it open for that time.

Digestion seemed to be okay so far - if this information is of any
importance.

We'd like to hear opinions from the experts here ., Do let us know if
it needs more information for any opinion . Am typing in the report of
Ultrasonography below .

Thanks in advance,

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Ultrasonography of Abdomen ( as on second day after the birth )

Liver : Is seen in the omphalocele . It is normal in size , outline and
echotexture . No focal lesion or biliary dilatatoin . Portal vein ,
common duct, IVC and hepatic veins are normal.
Gall Bladder : Normal . No calculi seen
Spleen : Normal
Pancreas : Normal
Kidneys : Normal in size with regular outline and echotexture. No focal
lesion is seen . No calculi or hydronephrosis.
Urinary Bladder : Normal
Uterus & Ovaries : Not seen clearly..
- small bowel loops are prominent.
- No free fluid in abdomen.

Impression : Omphalocele with liver in the sac.