Disorders of the Abdominal Wall Recognizable from the Outside (Excluding Abdominal Wall Hernias)

  • Georges L. Kaiser


Depending on the region of the world, malformations of the abdominal wall are present already at prenatal ultrasound examination and the remainder shortly after birth.

Abdominal wall defects of the midline combined with abdominal eviscerations and abnormal findings during the physiological healing process of the navel are the presenting signs.

The prevalence of these malformations is different and extends from frequent ≥1: 1,000 live births to relatively frequent ≥1:5,000, to rare ≥1:10,000, and to very rare ≥1:50,000. This phenomenon of variable prevalence applies to all anomalies. Reliable figures can demonstrate changes in occurrence of single malformation and permit epidemiological conclusions.


Abdominal Wall Umbilical Hernia Epidermoid Cyst Abdominal Wall Defect Perforated Appendicitis 
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Section 18.1

  1. Allen JW, Song J, Velcek FT (2004) Acute presentation of infected urachal cysts: case report and review of diagnosis and therapeutic interventions. Pediatr Emerg Care 20:108–111PubMedCrossRefGoogle Scholar
  2. Amoury RA, Snyder CL (1998) Meckel’s diverticulum. In: O’Neill JA Jr et al (eds) Pediatric surgery, vol 2, 5th edn. Mosby, St. LouisGoogle Scholar
  3. Chawla Y, Duseja A, Dhiman RK (2009) Review article: the modern management of portal vein thrombosis. Aliment Pharmacol Ther 30:881–894PubMedCrossRefGoogle Scholar
  4. Cilley RE, Krummel TM (1998) Disorders of the umbilicus. In: O’Neill JA Jr et al (eds) Pediatric surgery, vol 2, 5th edn. Mosby, St. LouisGoogle Scholar
  5. Rowe PC, Gearhart JP (1993) Retraction of the umbilicus during voiding as an initial sign of an urachal anomaly. Pediatrics 91:153–154PubMedGoogle Scholar
  6. Upadhyay V, Kukkady A (2003) Urachal remnants: an enigma. Eur J Pediatr Surg 13:372–376PubMedCrossRefGoogle Scholar

Section 18.2

  1. Cooney DR (1998) Defects of the abdominal wall. In: O’Neill JA Jr et al (eds) Pediatric surgery, vol 2, 5th edn. Mosby, St. LouisGoogle Scholar
  2. Novotny DA, Klein RL, Boeckman CR (1993) Gastroschisis: an 18-year review. J Pediatr Surg 28:650–652PubMedCrossRefGoogle Scholar
  3. Sapin E, Lewin F, Baron JM, Bargy F, Wakim A, Helardot PG (1993) Prenatal diagnosis and management of gastroschisis. Pediatr Surg Int 8:31–33CrossRefGoogle Scholar

Section 18.3

  1. Baird AD (2011) Exstrophy in the adolescent and young adult population. Semin Pediatr Surg 20:109–112PubMedCrossRefGoogle Scholar
  2. Brock JW III, O’Neill JA Jr (1998) Bladder exstrophy. In: O’Neill JA Jr et al (eds) Pediatric surgery, vol 2, 5th edn. Mosby, St. LouisGoogle Scholar
  3. Chalmers D, Ferrer F (2011) Continent urinary diversion in the epispadias-exstrophy complex. Semin Pediatr Surg 20:102–108PubMedCrossRefGoogle Scholar
  4. Corroppolo M, Zampieri N, Pietrobelli A, Giacomello L, Camoglio FS (2007) Bladder exstrophy variants. Minerva Urol Nefrol 59:109–113PubMedGoogle Scholar
  5. Dave S, Salle JL (2008) Current status of bladder neck reconstruction. Curr Opin Urol 18:419–424PubMedCrossRefGoogle Scholar
  6. Hernandez DJ, Purves T, Gearhart JP (2008) Complications of surgical reconstruction of the exstrophy-epispadias complex. J Pediatr Urol 4:460–466PubMedCrossRefGoogle Scholar
  7. Husmann DA (2006) Surgery insight: advantages and pitfalls of surgical techniques for correction of bladder exstrophy. Nat Clin Pract Urol 3:95–100PubMedCrossRefGoogle Scholar
  8. Johnston JH (1982) The exstrophic anomalies. In: Williams DI, Johnston JH (eds) Paediatric urology, 2nd edn. Butterworths, LondonGoogle Scholar
  9. Oesterling JE, Jeffs RD (1987) The importance of a successful initial bladder closure in the surgical management of classical bladder exstrophy: analysis of 144 patients treated at the Johns Hopkins Hospital between 1975 and 1985. J Urol 137:258PubMedGoogle Scholar
  10. Ransley PG, Duffy PG, Wollin M (1988) Bladder exstrophy closure and epispadias repair. In: Spitz L, Nixon HH (eds) Paediatric surgery, 4th edn. Butterworths, LondonGoogle Scholar
  11. Woodhouse CR, North AC, Gearhart JP (2006) Standing the test of time: long-term outcome of reconstruction of the exstrophy bladder. World J Urol 24:244–249PubMedCrossRefGoogle Scholar

Section 18.4

  1. Levitt MA, Mak GZ, Falcone RA Jr, Pena A (2008) Cloacal exstrophy – pull-through or permanent stoma? A review of 53 patients. J Pediatr Surg 43:164–168; discussion 168–170PubMedCrossRefGoogle Scholar
  2. Mathews R (2011) Achieving urinary continence in cloacal exstrophy. Semin Pediatr Surg 20:126–129PubMedCrossRefGoogle Scholar
  3. O’Neill JA Jr (1998) Cloacal exstrophy. In: O’Neill JA Jr et al (eds) Pediatric surgery, vol 2, 5th edn. Mosby, St. LouisGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Georges L. Kaiser
    • 1
  1. 1.Department of Pediatric Surgery InselspitalUniversity of BerneBerneSwitzerland

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