A RARE CASE OF HYPOGASTRIC OMPHALOCOELE WITH SACRAL MENINGOCOELE

Omphalocele with sacral meningocele was detected in a primipara on sonography at 17 weeks. The pregnancy was medically terminated on doctor's advice. On observation and dissection of the foetus it was observed that it was a case of hypogastric omphalocele with meningocele. Hypogastric omphalocele results due to failure of tail fold migration during development of abdominal wall. It is accompanied with failure of closure of posterior neuropore resulting in sacral meningocele. These two findings occur concurrently in 40% of cases. This should be kept in mind while diagnosing omphalocele and meningocele as it will facilitate early termination of pregnancy.