Congenital Abdominal Wall Defects

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17 Questions

What is the primary cause of gastroschisis?

Failure of the lateral folds of the embryonic disc to migrate and fuse

What is the characteristic feature of omphalocele?

Protrusion of abdominal viscera contained within a parietal peritoneum and amniotic membranous sac

What is a risk factor for gastroschisis?

Maternal age under 20

During which week of gestation do the lateral folds of the embryonic disc normally migrate and fuse?

3rd-4th week

What is a possible consequence of the midgut failing to return to the abdomen by the 10th week of gestation?

Ischemia of the abdominal wall and weakness leading to herniation

What is the primary repair method used for small diaphragmatic defects?

Single layer of nonabsorbable horizontal mattress sutures

What is the incidence of gastroschisis per 10,000 births?

4 per 10,000

What is the most common location of the hernia in Congenital Diaphragmatic Hernia (CDH)?

Left side

What is the male to female ratio for omphalocele incidence?

1.5:1

What is the percentage of gastroschisis associated with congenital anomalies?

10-15%

What is the primary cause of Congenital Diaphragmatic Hernia (CDH)?

Failure of the pleuroperitoneal membranes to close

What is a common associated anomaly with Congenital Diaphragmatic Hernia (CDH)?

Neural tube defects

What percentage of omphalocele cases are associated with congenital anomalies?

>70%

Who is credited with the first description of omphalocele?

Ambroise Paré

What is a characteristic of the Bochdalek type of Congenital Diaphragmatic Hernia (CDH)?

Defect in the posterolateral part of the diaphragm

What is a consequence of Congenital Diaphragmatic Hernia (CDH)?

Lung hypoplasia

What is the clinical presentation of Congenital Diaphragmatic Hernia (CDH) correlated with?

The degree of pulmonary hypoplasia and pulmonary hypertension

This quiz covers various congenital abnormalities related to the abdominal wall, including gastroschisis, omphalocele, and pentalogy of Cantrell. It also touches on other related disorders such as Trisomies 13,18,21, and Beckwith-Wiedemann Syndrome.

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