**7. Conclusion**

Prenatal ultrasound offers a high accuracy in the diagnosis of fetal abdominal wall defects beginning with the first trimester nuchal scan. Most fetal abdominal wall defects have poor prognosis and termination of pregnancy if often offered at the time of the detection after multidisciplinary counseling. Management of gastroschisis can be challenging, and also is the surgical treatment of complex forms. On the other hand, omphalocele, relatively easy to diagnose and treat, is frequently associated with chromosomal and structural anomalies that worsen the prognosis and the final outcome. The importance of ultrasound diagnosis in early pregnancy must be highlighted. This should be available even in under-developed health systems.
