Fig. 13

Large exomphalos in a foetus at 22 weeks gestation, following termination of pregnancy for multiple congenital anomalies. Post-mortem ultrasound performed 10 days after delivery in both sagittal (a) and transverse plane (c) demonstrate herniation of bowel contents through the anterior abdomen. The contents of the exomphalos contained loops of bowel and the majority of the liver (dotted arrow). The external photographs of the foetus at autopsy (b, d) show the herniated contents being covered by a thin membrane with the umbilical cord arising from this (solid arrow). It is also possible to identify further anomalies of a neural tube defect (asterisk) and hypoplastic right limb (unfilled arrow) from the external images