Ruptured meningomyelocele reconstructed with rhombic flap

Abstract

Meningomyelocele (MMC) is one of the adverse birth outcomes in Jamaica related to a low socioeconomic status and health care limitations.We present a case of a male neonate with a ruptured lumbar MMC, hydrocephalus, Chiari type 2 malformation and talipes equinovarus. Surgical repair of the MCC accompanied by reconstruction of the skin defect with a transposition flap was accomplished within 48 hours. Subsequently there was the insertion of a ventriculoperitoneal shunt.The reconstructive surgeon is posed with a challenge to select the ideal method of closure that is tailored to the shape and size of this large defect while working in a multidisciplinary team.

Keywords

• Meningomyelocele/neural tube defects
• Folic acid
• Rhombic flap