This one-day-old female weighing 2.5 kg was born with her stomach,
entire small intestines and large intestine upto the sigmoid colon
1) through a defect in the abdominal well immediately to the right of
a normally inserted umbilical cord (Fig. 2). No sac was
Fig. 1. Spontaneous eviscerated gut in the baby since
Fig. 2. Defect in the abdominal wall immediately
to the right of a normally inserted umbilical
Clinically, gastroschisis and a ruptured exomphalos major (omphalocele)
have similar presentations, but in the latter case the remnants of the
ruptured sac can be identified and, frequently, a portion of the liver
forms a part of the eviscerated con- tents of the abdomen which makes
primary closure difficult. Gastroschisis is known to be associated
with anomalies of rotation of gut and intestinal atresias.
H. K. Borah,
Guwahati -781 007, India.