Case contributed by Jeremy Jones


Abnormal anterior abdominal wall at delivery.

Patient Data

Age: Neonate (day 0)
Gender: Male

There is a large soft tissue mass projected over the right side of the abdomen.

Case Discussion

Given the history of a large abdominal mass and this radiograph, the differential diagnosis is between omphalocoele and gastroschisis.  In an omphalocoele, a membrane covers the herniated bowel whereas in gastroschisis, there is no external membrane and multiple loops of herniated bowel can be resolved as they lie atop of one another.

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