Bruce J, Afshani E, Karp M P, Jewett T C
Department of Surgery, Children's Hospital of Buffalo, NY.
J Pediatr Surg. 1988 Nov;23(11):1018-20. doi: 10.1016/s0022-3468(88)80012-5.
The diagnosis of gastroduodenal obstruction by hepatic compression following omphalocele closure must be suspected in the presence of persistent nonbilious vomiting. We feel that computed tomography (CT) is the appropriate imaging method to define the liver abnormality. Nonsurgical management is the best approach with nutritional support maintained by total parenteral nutrition until physiological resolution of the obstruction occurs.
