Gastroschisis represents a herniation of abdominal contents through a paramedian full-thickness abdominal fusion defect without involving the umbilical cord. Evisceration usually only contains intestinal loops and has no surrounding membrane unlike in ophalocoele. It is unusual for a newborn born with gastroschisis to have other serious birth defects and neonates have better prognosis than those with an omphalocele. Very rarely gastroschisis is associated with herniation of major viscus and their presence makes the prognosis worst. This case is reported because of its rare association with extra-corporal liver and limb aplasia
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