Omphalocele

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Figer-1

📄 Report Sample Line- Omphalocele (First Trimester / NT Screening)
Midline anterior abdominal wall defect noted at the base of the umbilical cord insertion, containing herniated bowel and/or liver within a membranous sac consistent with omphalocele. Umbilical cord is seen inserting into the apex of the sac.


Conclussion: 📋 Findings are suggestive of Omphalocele.
Recommendation: Further evaluation with detailed anomaly scan and fetal echocardiography.

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Note: Select English to answer in English, या हिंदी चुनें तो प्रश्नों के उत्तर हिंदी में दीजिए।

1. What is an omphalocele? 1. ऑम्फालोसेल क्या है?
A. Midline abdominal wall defect at the base of the umbilical cord with herniated viscera covered by a membranous sac
B. Full-thickness defect right of the umbilicus without a sac (gastroschisis)
C. Neural tube defect
D. Placental abnormality

2. Typical contents of an omphalocele sac may include: 2. ऑम्फालोसेल थैली में आमतौर पर कौन-से अंग शामिल हो सकते हैं?
A. Liver and bowel (often liver when large)
B. Only lungs
C. Brain tissue
D. Umbilical cord absent

3. Prenatal ultrasound features that suggest omphalocele include: 3. ऑम्फालोसेल का संकेत देने वाले गर्भकालीन अल्ट्रासाउंड लक्षण कौन से हैं?
A. Midline herniation at cord insertion with a membranous sac and often associated liver prominence
B. Free-floating bowel loops without sac
C. Isolated intracranial cysts
D. Placental abruption only

4. How does omphalocele differ from gastroschisis? 4. ऑम्फालोसेल और गैस्ट्रोस्काइसिस में क्या अंतर है?
A. Omphalocele is midline with a covering sac and often associated anomalies; gastroschisis is lateral (usually right) and lacks a sac
B. They are the same condition
C. Omphalocele always occurs on the left thigh
D. Gastroschisis has a membranous sac

5. Omphalocele is more commonly associated with which of the following? 5. ऑम्फालोसेल किसके साथ अधिक सामान्य रूप से जुड़ा होता है?
A. Chromosomal anomalies (eg trisomy 13, 18), Beckwith–Wiedemann syndrome and other structural anomalies
B. Always isolated with no anomalies
C. Maternal foot deformities only
D. Only postnatal infections

6. Best prenatal evaluation when omphalocele is detected includes: 6. जब ऑम्फालोसेल का पता चलता है तो सर्वश्रेष्ठ गर्भकालीन मूल्यांकन में क्या शामिल होना चाहिए?
A. Detailed anatomic ultrasound, fetal echocardiography, and offer genetic testing/counseling
B. Immediate cesarean without further tests
C. No follow-up
D. Only maternal diet change

7. Which prenatal sign suggests higher risk of associated anomalies and poorer prognosis? 7. कौन सा गर्भकालीन संकेत जुड़ी हुई असामान्यताओं और खराब पूर्वानुमान के उच्च जोखिम का संकेत देता है?
A. Presence of other structural anomalies, abnormal cardiac findings, or abnormal karyotype
B. Isolated small sac with normal anatomy otherwise
C. Maternal hair color only
D. Fetal hiccups only

8. Delivery planning for a fetus with omphalocele typically includes: 8. ऑम्फालोसेल वाले भ्रूण के लिए डिलीवरी योजना सामान्यतः क्या शामिल होती है?
A. Delivery at a tertiary centre with neonatal surgical support and multidisciplinary team; mode depends on obstetric indications
B. Home birth always
C. Immediate induction at 28 weeks in all cases
D. No special planning required

9. Postnatal concerns specific to omphalocele include: 9. ऑम्फालोसेल के लिए जन्मोपरांत विशिष्ट चिंताएँ क्या हैं?
A. Associated genetic abnormalities, need for staged repair or neonatal support, and risk of feeding/respiratory issues if large
B. No special concerns—routine care only
C. Immediate brain surgery
D. Only maternal antibiotics postpartum

10. Which statement is true about prognosis for isolated small omphalocele with normal karyotype? 10. सामान्य काइरियोटाइप वाले अलग छोटे ऑम्फालोसेल के बारे में कौन सा वक्तव्य सत्य है?
A. Prognosis can be good with appropriate neonatal surgical care and absence of other anomalies
B. Always lethal regardless of management
C. Guarantees long-term cognitive impairment
D. No surgery available