Authors : Dr. Dina Houjjaj; Dr. Sara Mouhmouh; Dr. Sara Yasyn; Dr. Fatima Zahra Azraq; Amal Benbella; Bouchaib Allae Eddine; Abdelhai Adibe Filali; Mohammed Hassan Alami; Rachid Bezad

Volume/Issue : Volume 11 - 2026, Issue 5 - May

Google Scholar : https://tinyurl.com/3j7dsvex

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DOI : https://doi.org/10.38124/ijisrt/26May1538

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Abstract : Introduction: Omphalocele is a congenital malformation of the anterior abdominal wall characterized by herniation of abdominal contents through the umbilical ring, covered by a membranous sac. Its incidence is estimated at 1 per 4,000 to 7,000 live births. Although it is often detected on prenatal ultrasound, it may exceptionally be discovered at birth.  Case Report: We report the case of a male newborn weighing 3,560 g, born at 38 weeks and 6 days of amenorrhea to a 37-year-old multigravid woman (G4P3) with no notable personal or family history and no known consanguinity. The pregnancy had been monitored by a general practitioner, with normal reported fetal biometry. Delivery was vaginal, with an Apgar score of 10. Clinical examination at birth revealed a large omphalocele with an intact sac containing bowel loops.  Conclusion: This case illustrates the importance of rigorous prenatal ultrasound surveillance and immediate multidisciplinary management in the delivery room. The incidental discovery of an omphalocele at birth, without antenatal diagnosis, highlights the limitations of obstetric follow-up performed exclusively in primary care.

Keywords : Omphalocele; Abdominal Wall Defect; Term Neonate; Missed Antenatal Diagnosis; Pediatric Surgery Mots-Clés: Omphalocèle; Malformation De La Paroi Abdominale; Nouveau-Né À Terme; Diagnostic Anténatal Manqué; Chirurgie Pédiatrique.

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