BMJ Case Rep

. 2025 Mar 14;18(3):e263810.

 doi: 10.1136/bcr-2024-263810. https://pubmed.ncbi.nlm.nih.gov/40086854/

Navigating the intricacies of a term neonate with coexistent giant omphalocele, right diaphragmatic hernia and partial Cantrell’s pentalogy

Lucky Gupta ¹

Affiliations Expand

• PMID: 40086854
• DOI: 10.1136/bcr-2024-263810

Abstract

A term neonate (TN) of 2 days, delivered by lower segment caesarean section in a private nursing home of a rural area, was referred to the outpatient department of paediatric surgery with a chief concern of large abdominal swelling and mild respiratory distress. The TN was diagnosed with giant omphalocele and a right diaphragmatic hernia.Intraoperatively, the omphalocele sac was found to contain liver, stomach, spleen and small intestine, with the latter herniating through a right diaphragmatic defect. Additionally, the lower part of the heart was adhered to the under-surface of the sac in the right upper hypochondrium. The coexistence of a giant omphalocele, right diaphragmatic hernia and partial Cantrell’s pentalogy (POC) makes this case unique, highlighting the need to consider this anomaly in similar presentations.

Keywords: Anatomical Variation; Congenital disorders; Paediatric Surgery; Paediatric intensive care; Paediatrics.

© BMJ Publishing Group Limited 2025. No commercial re-use. See rights and permissions. Published by BMJ Group