Omphalocele Etiology: anterior abdominal wall defect where umbilicus inserts at apex of hernia sacImaging: multiple loops of bowel outside of abdominal cavity with an encasing sacTreatment: reduced via siloClinical: associated gastrointestinal, genitourinary, cardiovascular congenital anomalies Cases of Omphalocele Lateral AXR shows multiple loops of bowel encased within a sac outside of the abdomen. The abdominal cavity is small. Clinical image shows a large sac containing liver and other viscera with the umbilical cord originating from the sac.