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Case of the Week 521


What is the most likely diagnosis?

  • Newborn with obvious abdominal wall defect



Lateral Radiograph of Cervical Spine

  1. Prune-Belly Syndrome
  2. Extrophy of the Bladder
  3. Gastroschisis
  4. Umbilical Hernia
  5. Esophageal Atresia

Additional Images-None

 

Additional Images

 


None


Answer:

 

3. Gastroschisis

 

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Gastroschisis

General Considerations

  • Herniation of abdominal contents through a small (2-5 cm) defect in the abdominal wall, usually just to the right of the umbilicus
  • Usually involves small bowel
    • Herniation of other visceral organs is rare
  • No surrounding membrane
  • There are usually no associated congenital defects

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