GI: Paedatric Pathology Cases 3

A full-term baby was delivered with uncovered loops of bowel protruding from the abdomen to the

right of the umbilicus.

 

https://en.wikipedia.org/wiki/Gastroschisis

The diagnosis is gastroschisis.

 

This needs to be distinguished from an omphalocoele, which is another type of abdominal wall defect.

An omphalocole is a midline herniation of the intestines (and, sometimes, other organs)  through the umbilical ring.

A critical point is that in an omphalocele, the contents are covered by the peritoneum and amniotic membrane.

These features and additional information are summarised in the following table