title: An 18 years' review of exomphalos highlighting the association with malrotation.
abstract: BACKGROUND
  This was a retrospective 18 years' review of infants with exomphalos with particular attention to its association with malrotation.
  
  
  METHODS
  We reviewed all exomphalos cases presenting to our neonatal surgery unit, from October 1991 to September 2009. Data were presented as median and range values. Categorical data were analyzed using Fisher's exact tests and P value of ≤0.05 was considered as significant.
  
  
  RESULTS
  Forty-two infants with exomphalos (E. major 23, E. minor 19) were treated during this period. The incidence of surgically confirmed malrotation was 45% in E. major and 31% in E. minor.
  
  
  CONCLUSIONS
  The association of malrotation in exomphalos major and exomphalos minor infants is alarmingly high and supports the need to actively exclude this abnormality, either operatively or radiologically.
authors.affiliation: University Hospital Lewisham (Evelina Children Hospital), London, UK. cksinha@btinternet.com
authors.forename: Chandrasen K
authors.initials: CK
authors.lastname: Sinha
authors.forename: Masih
authors.initials: M
authors.lastname: Kader
authors.forename: Evelyn
authors.initials: E
authors.lastname: Dykes
authors.forename: A J
authors.initials: AJ
authors.lastname: Said
mesh_terms: D000015:Abnormalities, Multiple / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006554:Hernia, Umbilical / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007902:Length of Stay / Q000639:trends; D008297:Male; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D006113:United Kingdom / Q000453:epidemiology