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Images in neonatal medicine
Images in neonatal medicine
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. 1 Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  2. 2 Division 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

http://dx.doi.org/10.1136/archdischild-2013-303717

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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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    Footnotes

    • Contributorship LCNC: drafting of the manuscript; critical revision of the manuscript for important intellectual content. YHT: technical and material support; critical revision of the manuscript for important intellectual content. HSL: critical revision of the manuscript for important intellectual content; study supervision. KHL: technical and material support; critical revision of the manuscript for important intellectual content. PCN: critical revision of the manuscript for important intellectual content; study supervision.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.