Beckwith Waidemann Syndrome

A five days old 3.3 kg infant, preterm male was admitted at the neonatal ward MNH five hours after birth from a peripheral hospital for further management of congenital hernia and general care. Examinations revealed macroglosia, earlobe crease, large exomphalous, small penis, hypospadius and cryptochidism. Investigations portrayed neonatal hypoglycaemia and distended bowel by x-ray. The ultimate diagnosis reached was Beckwith Waidemann Syndrome. The management for such a condition is mainly supportive to maintain euglycaemia, surgical intervention when indicated followed by monitoring the possibility of embryonal neoplasm later by ultrasonography surveillance.