Abstract:Gastroschisis is a ventral body wall defect causing herniation of abdominal contents through para-median abdominal wall defect. The incidence is 1/20,000 live births. Various hypotheses are proposed but most of the authors support the hypothesis of failure of mesoderm to form body wall. Gastroschisis typically occurs to right of umbilicus, with very few cases of left sided gastroschisis reported in literature. We report a left lateral gastroschisis with concurrent complete liver agenesis, rudimentary left lung and left pulmonary artery.

A 21-year-old female presented with a history of slowly enlarging nodular painless mass on the right side in the anterior part of the neck. The patient was asymptomatic except for cosmetic disfigurement. Thyroid function test results were within normal limits. On fine needle aspiration cytology, it was diagnosed as colloid nodule. A right hemithyroidectomy was performed in view of cosmetic disfigurement; histopathological examination of the excised specimen revealed ectopic thymic tissue adjacent to thyroid. This case is reported to emphasize the possible clinical and surgical presentation of this rare entity.