Case challenge · Imaging / Fetal medicine / Pediatric surgery · teaching

Fetal Abdominal Wall Defect (Gastroschisis vs Omphalocele) · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Fetal abdominal wall imaging

Case #1Imaging / Fetal medicine / Pediatric surgery

📋 Case data

Defect-cord relationship + membraneComplex (LBWC/cloacal exstrophy/pentalogy of Cantrell/bladder exstrophy)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Defect-cord relationship + membrane

Relationship of the defect to the cord insertion + presence of a membrane?

💡 Key differentiation = relationship to the cord insertion + presence of a covering membrane. Ultrafast fetal MRI confirms + surveys associated anomalies (especially CNS), measures O/E lung volume for a giant omphalocele. Physiologic midgut herniation resolves before 11–12 weeks (do not misdiagnose).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.