Navel Appendage (Differential Diagnosis as before)

1-day-old boy in whom the umbilical cord was removed and preliminary ligated. On the right side of the patient close to the insertion of the navel a longitudinal appendage is visible which runs in a cranial direction. It gets smaller, ends abruptly and reminds of an intestinal segment. The diagnosis is a gastroschisis with an intrauterine strangulation of the prolapsing intestinal loop followed by an intestinal atresia. The continuation of the intestine is not visible in the small cleft of the abdominal wall beside the navel or intraabdominally. Because the former length of the prolapsed intestine is unknown, a short bowel syndrome is not excluded in the presented newborn and can only be demonstrated by surgery.