Utilización de Toxina Botulínica en el manejo de onfalocele gigante en un lactante. Informe de Caso

espanolIntroduccion: El onfalocele gigante se define por defecto de pared abdominal de 5 cm de diametro a mas o presencia de herniacion hepatica. Se ha descrito el uso de toxina botulinica como coadyuvante en la reconstruccion de la pared abdominal en adultos, su utilidad en pediatria aun es poco descrito, pero si muestra seguridad y eficacia. Reporte de Caso: Paciente femenino de 40 semanas de edad gestacional con onfalocele gigante con defecto amplio de aproximadamente 9 centimetros, en quien a los 75 dias de vida se le aplica inyecciones de toxina botulinica alrededor del defecto y es intervenida a la semana para al cierre definitivo de pared abdominal, la cual se logra sin tension ni intercurrencias post operatorias. Conclusion: El uso de toxina botulinica muestra tener alta efectividad para lograr un cierre de pared abdominal en pacientes con onfalocele gigante. EnglishIntroduction: Giant omphalocele is an abdominal wall defect of 5cm in diameter or more or presence of liver herniation. The use of botulinum toxin has been described as an adjunct therapy in the reconstruction of the abdominal wall in adults. Its use in pediatric patients is still little described but it does show safety and efficacy. Case Report: 40-week gestational-age female patient with a giant omphalocele with a wide defect measuring approximately 9 centimeters, in whom at 75 days of life botulinum toxin injections were applied around the defect and operated a week after for definitive abdominal wall closure which was achieved without tension or post-operative intercurrences. Conclusion: The use of botulinum toxin is shown to be highly effective in achieving abdominal wall closure in infant patients with giant omphalocele.