One case of annular pancreas causing duodenal obstruction in 25-day-old girl was treated sucessfully by duodenojejunostomy at Ewha Womans University Hospital in July, 1980. She was one of the twins and premature baby in 37 weeks gestation. The hypothetical aspect of this anomaly, symptomatology, radiological findings, and the method of surgical procedures are discussed.

Gastroshisis is a rare congenital defect demanding urgent surgical correction. It is a full thickness cleft of the abdominal wall next to the insertion of the cord through which the intestines are eviserated. The characteristics which differentiate gastroschisis from omphalocele are the extra-umbilical location of the abdominal wall defect, the normal insertion of the umbilical cord, and the abscence of a covering sac or its ruptured remnants.

The child had unevenful postoperative course and has grow up normal and healthy. This paper is concerned with our experience of a survival case and reviewed the embryo-logy, pathology, associated anormalities, and the current concepts in the management of gastroschisis in the literatures.