Extreme Form (Omphalocele)

1-day-old newborn with a very large mass which is greater than the abdomen. In the cranial part parenchymatous organs and in the caudal part intestinal loops are recognizable. It is an extreme form of an omphalocele. The omphalocele sac is still transparent. It is being lifted a little by the examiner's hand. The parenchymatous organ is the liver lying together with intestinal loops outside of the belly within the sac of the omphalocele. The site of insertion of the umbilical cord is eccentric, the latter is flapped to the left side of the patient. The right hand of the newborn lies on the upper pole of the omphalocele.