Abstract
An omphalocele is a rare midline anterior abdominal wall defect with unknown cause. It may be a small or a giant omphalocele. Management of giant omphaloceles is challenging, it can either be conservative then delayed surgical closure or immediate surgical closure. We report a case of male neonate with a giant omphalocele who was delivered by a 33 year old primigravida through an elective cesarean section. The baby was at a stable condition at delivery and throughout hospital admission. He subsequently hadsuccessful conservative management. Delaying the surgery expectedly will temporizefor gradual return of the content of the omphalocele into the abdominal cavity. This prevented complications associated with immediate closure