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Gastroschisis, omphalocele or something else?
  1. Lawrence Chi Ngong Chan1,
  2. Yuk Him Tam2,
  3. Hugh Simon Lam1,
  4. Kim Hung Lee2,
  5. Pak C Ng1
  1. 1Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  2. 2Division of Paediatric Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  1. Correspondence to Professor Pak C Ng, Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, 6/F, Clinical Sciences Building, Shatin, N.T., Hong Kong; pakcheungng{at}cuhk.edu.hk

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A male term infant with birth weight 2.50 kg was transferred to our centre for surgical management of suspected gastroschisis. Examination revealed low body temperature 35.6°C, moderate dehydration and a 4 cm bowel loop protruding out of the abdomen immediately adjacent to the umbilical cord and encircled by the umbilical ring. There was no covering sac and the exposed bowel appeared dusky (figure 1). After fluid resuscitation and initial stabilisation, emergency operation revealed a …

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