Cloacal extrophy with prolapsed Gut

[dr Niazi]

Case of Cloacal Extrophy with prolapsed gut . Presented a while ago . How to proceed in Emergency.

 

[Haider Ali]

Looks more like gastroschisis. Can't comment on cloaca .

 

[Ahmed Nabil]

In these cases first priority is resuscitation (securing central IV access, IV fluids, antibiotics, NPO, TPN, warming the baby), then protection of the bowel with moist towel + sterile plastic wrap to decrease heat loss, then VACTRL screening specially for associate EA/TEF, ECHO, renal us, then the aim of OR is to convert the case from cloacal extrophy to ectopia vesica + distal colon stoma with concerns for reducing the viscera in to the abdomen, abdominal domain, caecal separation from bladder and tubularization and joining the two hemibladders together, later on karyotyping should be done with later repair of ectopia vesica and bladder neck snd phalus reconstruction according to the sex of the baby. Tough case that need good nicu and good long term care, I wish you luck