Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane

We are reporting herein the case of a newborn baby that we managed in emergency successfully thanks to a simple treatment.It was a huge omphalocele, ruptured during delivery, in a male newborn baby. We conducted a simple and conservative surgical treatment without prosthesis, which consisted of reconstruction of the omphalocele's membrane by closing it with absorbable suture materials. The suture of the omphalocele's membrane was followed by treatment with the Grob's method. This treatment saved the newborn baby's life. The total skinning was obtained after 3 months.In case of rupture of huge omphalocele in absence of prosthesis, it is better to suture the membrane, and continue the treatment according to the Grob's method; the residual disembowelment can be repaired later.The management of omphalocele has been improved, due to advances that occurred in pediatric anesthesia and resuscitation [1-3]. However, developing countries remained far from these advances not only because of the limited conditions of anesthesia and resuscitation [4], but also because of the unavailability of prosthetic materials required for the surgical treatment of huge omphalocele. Thus, the non surgical treatment according to Grob is often done [4], followed by a surgical repair of the residual disembowelment. In these conditions, the situation becomes difficult when one faces a ruptured huge omphalocele (type II of A？tken), because the Grob's method cannot longer be used.Hereby, we are reporting the case of a huge omphalocele, ruptured during delivery and treated surgically with a simple technique without the use of prosthetic materials.It was a male newborn baby, born on December 25th, 2007 in a clinic and transferred immediately to the Tokoin Teaching Hospital for abdominal defect with evisceration. He was born by spontaneous vaginal delivery following a normal term pregnancy. No ultrasound (US) scan was done during pregnancy. There was no family history of malformation. He was not resus