An infant at 39-week gestation is born to a thin 19-year-old Caucasian grava-1, para-0 woman with no prior medical history. Her body mass index is 20. She quit smoking when she discovered she was pregnant. The pregnancy was uncomplicated. Prenatal maternal laboratory studies were significant for an elevated serum alpha-fetoprotein level. Prenatal ultrasound examinations showed a fetus with free loops of intestine present in the amniotic cavity extruding through a small abdominal defect lateral to the base of the umbilical cord. The infant’s APGAR scores are 8 and 9 at birth and 5 min later, respectively. Vital signs are within normal limits. The abdomen is scaphoid with loops of matted and inflamed small bowel protruding from a defect to the right of the umbilicus, and the umbilicus appears to be intact.