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Arch Dis Child Fetal Neonatal Ed doi:10.1136/archdischild-2013-303717
  • Images in paediatrics

Gastroschisis, omphalocele or something else?

  1. 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
  • Received 26 January 2013
  • Revised 27 February 2013
  • Accepted 6 March 2013
  • Published Online First 26 March 2013

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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