Omphalocele

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

2nd trimester anomaly scan at 21 weeks of gestation.

Patient Data

Gender: Unknown
ultrasound
Download
Info

2D/4D ultrasound images of a male fetus (21 weeks gestational age) revealing large mid-line anterior abdominal wall defect with herniating large membrane covered sac containing fluid, multiple echogenic bowel loops as well as the liver & GB. There are associated ascites and marked thickening and edema of the covering membranes.

Findings are highly suggestive of omphalocele. 

Case Discussion

The most common differential diagnosis is gastroschisis which is:

  • usually smaller para-umbilical defect (usually to the right of the mid-line)
  • not covered by membranes
  • usually containing only bowel loops

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.