Introduction and importance: Laparoschisis is a congenital abdominal wall defect characterized by herniation of abdominal contents through a paraumbilical opening. Early prenatal diagnosis is critical for appropriate counseling, monitoring, and management. We report a case of laparoschisis diagnosed at 11 weeks of gestation in an otherwise healthy patient, confirmed by ultrasonographic and fetopathologic examinations. Case presentation: A 27-year-old gravida 1, para 0 woman underwent routine prenatal ultrasonography at 11 weeks of amenorrhea. High-resolution imaging and Doppler studies confirmed the diagnosis of laparoschisis. Subsequent evaluations included detailed anatomical ultrasonography and post-termination fetopathologic examination. Clinical Discussion: Ultrasonography at 11 weeks revealed a paraumbilical abdominal wall defect with extrusion of bowel loops into the amniotic cavity, consistent with laparoschisis. Amniotic fluid volume and fetal crown-rump length were within normal ranges, with no other anomalies detected. The pregnancy was terminated at 11 weeks following multidisciplinary counseling. Fetopathologic examination corroborated the ultrasonographic findings, confirming isolated laparoschisis with no associated structural abnormalities. Conclusion: Early detection of laparoschisis allows for tailored management strategies, including prenatal monitoring and delivery planning. This case highlights the utility of ultrasonography in diagnosing rare anomalies in the first trimester and the importance of multidisciplinary approaches in decision-making.