A Case Report of Adult Omphalocele with Herniated Liver

Omphalocele is a congenital defect of the abdominal wall at the umbilicus, causing herniation of the intra-abdominal contents. The small intestine is the usual content of this sac, though rarely the colon, liver, spleen, and kidney may also be seen. It is unusual that an omphalocele presents in adulthood, even though few cases have been reported. Presentation of case A 20-year-old male presented with an omphalocele with the left lobe of the liver as content. He underwent surgery, with caecopexy and appendectomy. The liver was mobilised, and the defect was repaired using retro-muscular placement of a polypropylene mesh. He recovered well, and at follow-up after 18 months, he is doing well. This case report highlights the unusual presentation of neglected omphalocele in adulthood and the possible treatment options.