Not Everything Is Cordless Today-Case Report of Acute Intestinal Obstruction in a Neonate Due to Cord Clamping.

Daniel Keese,Udo Rolle,Andrea Schmedding,Anne-Kathrin Schwalbach

doi:10.3389/fped.2021.810570

Abstract

We report a case of a 2-day-old neonate with bilious vomiting and abdominal distension. A small bowel obstruction with ileal perforation due to a misplaced clamping of the umbilical cord was apparent before laparotomy. This complication was a sequala after clamping the cord too close to the abdominal wall in a case where there was a hernia into the cord with intestinal content. A herniation of abdominal contents due to an omphalocele minor or a hernia must be taken into consideration during the inspection of the umbilical cord before clamping.

Highlights

Abdominal wall defects are rare congenital entities that can lead to an evisceration of intraabdominal organs
The abdominal wall in an omphalocele is not anatomically correct and has a missing portion of the supraumbilical fascia [3]. This is because a hernia into the cord does not manifest itself until the 10th week of gestation after the supraumbilical abdominal wall has already been created. Both small omphaloceles and hernias into the cord are usually treated by a primary fascial closure with an umbilical reconstruction
The infant made an uneventful recovery and was discharged to go home with planned follow up in the outpatient clinic. Abdominal wall defects such as omphalocele or hernia into the cord are characterized by an abnormality of the umbilical ring (∼1 in 4,000 to 1 in 10,000 births), which affects boys and girls almost

Summary

Introduction

Abdominal wall defects are rare congenital entities that can lead to an evisceration of intraabdominal organs. The differentiation between a small omphalocele, defined as a defect of the umbilical ring smaller than 5 cm [2], and a potential hernia into the cord is difficult. Both small omphaloceles and hernias into the cord are usually treated by a primary fascial closure with an umbilical reconstruction.

Results

Conclusion