Gastroschisis, omphalocele or something else?

A male term infant with birth weight 2.50 kg was transferred to our centre for surgical management of suspected gastroschisis. Examination revealed low body temperature 35.6°C, moderate dehydration and a 4 cm bowel loop protruding out of the abdomen immediately adjacent to the umbilical cord and encircled by the umbilical ring. There was no covering sac and the exposed bowel appeared dusky (figure 1). After fluid resuscitation and initial stabilisation, emergency operation revealed a …