Case contributed by Dr Ahmed Mahrous Saied


Routine 2nd trimester antenatal care at 17 weeks of gestation

Patient Data

Gender: Female

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:

  1. Presence of liver tissue within the herniated sac is more common finding in omphalocele than gastroschisis.
  2. The herniation is midline, more common with omphalocele. 
  3. Presence of a covering membrane noted, compatible with omphalocele rather than gastroschisis.
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Case information

rID: 34001
Published: 1st Feb 2015
Last edited: 25th Dec 2019
Inclusion in quiz mode: Included

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