“…Intestinal obstruction is a malformation that is rarely associated with CE, and only four cases have been reported to date. 2,12,14,15 We speculate that the ruptured omphalocele induced intestinal adhesion, resulting in a disruption of peristaltic movement and secondary, if not complete, intestinal obstruction. The cause of intrauterine fetal death, in this case, remains unknown; however, we speculate that factors related to the umbilical cord played a major role because the umbilical cord severely adhered to the eviscerated intestines, and no anomalies of vital organs, including those of the cardiovascular system, were present.…”