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Gastroschisis or exomphalos? An unusual abdominal defect
  1. Jayaram Sivaraj1,2,
  2. Tristan Boam2,3 and
  3. Sara Gozzini2,4
  1. 1 Department of General Surgery, North Middlesex University Hospital NHS Trust, London, UK
  2. 2 Department of Paediatric Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
  3. 3 Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, UK
  4. 4 Department of Paediatric Surgery, King's College Hospital, London, UK
  1. Correspondence to Jayaram Sivaraj; jayaram.sivaraj{at}


A baby with an antenatal diagnosis of exomphalos was born at term. The abnormality had a highly unusual appearance, a right-sided paraumbilical defect, similar to gastroschisis, but with a sac typical of exomphalos containing both abdominal contents and over 1 L of serosanguinous fluid. The sac was drained and suspended from the top of the incubator in silo fashion. Definitive closure was achieved at day 3 of life, and the patient had a non-eventful recovery. Despite exomphalos and gastroschisis normally being discrete entities, ambiguity in the presentation this case necessitated a composite management approach.

  • congenital disorders
  • neonatal and paediatric intensive care
  • paediatric surgery

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  • Contributors This case report was written by JS, TB, SG. The parents of the patient kindly provided consent for the report to be published and provided us with the images used.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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