Presentation
Routine 2nd trimester antenatal care at 17 weeks of gestation.
Patient Data
Multiple ultrasound images and correlated doppler scanning revealed abnormal herniation of the bowel loops outside the abdominal cavity along with herniation of liver tissue.
No evidence of rupture.
The mean gestational age was equal to 17 weeks.
Case Discussion
The above-described features are highly suggestive of omphalocele:
the presence of liver tissue within the herniated sac is a more common finding in omphalocele than gastroschisis
the herniation is midline, more common with omphalocele
presence of a covering membrane noted, compatible with omphalocele rather than gastroschisis