Neonatal meconium ileus: a rare presentation

Authors

  • Sneha Hemachandran Department of General Surgery, Rajarajeswari Medical College, Bangalore, Karnataka, India
  • Chaithanya J. Department of General Surgery, Rajarajeswari Medical College, Bangalore, Karnataka, India
  • Anjala Kumar Department of General Surgery, Rajarajeswari Medical College, Bangalore, Karnataka, India
  • Keshav Murthy Department of General Surgery, Rajarajeswari Medical College, Bangalore, Karnataka, India
  • Girish M. L. Department of General Surgery, Rajarajeswari Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195426

Keywords:

Intestinal obstruction, Meconium ileus, Meconium peritonitis, Neonatal ascitis, Prematurity

Abstract

Meconium peritonitis is a non-bacterial, chemical inflammation of the peritoneum caused by antenatal or postnatal perforation of intestine by inspissated meconium. Surgery is necessary when signs of intestinal obstruction are present. The incidence of meconium peritonitis is about 1:30,000. Perinatal morbidity and mortality is about 80%. In the case of meconium peritonitis, the incidence of prematurity is 20-30 %. Author present an unusal case of meconium ileus with multiple ileal perforation leading to peritonitis.

References

Kayastha K, Mirza B, Sheikh A. Volvulus of small bowel in a case of simple meconium ileus. APSP J Cas Rep. 2011;2(1):7.

Wang CN, Chang SD, Chao AS, Wang TH, Tseng LH, Chang YL. Meconium peritonitis in utero the value of prenatal diagnosis in determining neonatal outcome. Taiwan J Obstet Gynecol. 2008;47(4):391-6.

Chalubinski K, Deutinger J, Bernaschek G. Meconium peritonitis: extrusion of meconium and different sonographical appearances in relation to the stage of the disease. Prenat diag. 1992;12(8):631-6.

Dirkes K, Crombleholme TM, Craigo SD, Latchaw LA, Jacir NN, Harris BH et al. The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 1995;30(7):979-82.

Kimber CP, MacMahon RA, Shekleton P, Yardley R. Antenatal intestinal vascular accident with subsequent small bowel atresia: case report. Ultrasound Obstetrics and Gynecology: The Offic J Intern Soc Ultrasou Obstet Gynecol. 1997;10(3):212-4.

Lorimer WS Jr, Ellis DG. Meconium peritonitis. Surgery. 1966;60(2):470-5.

Shimotake T, Go S, Tsuda T, Iwai N. Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Intern. 2000;16(1-2):43-4.

Foster MA, Nyberg DA, Mahony BS, Mack LA, Marks WM, Raabe RD. Meconium peritonitis: prenatal sonographic findings and their clinical significance. Radiology. 1987;165(3):661-5.

DE VEL LE. Intestinal perforation with pneumoperitoneum in the new-born infant. Am J Dis Childr. 1933;45(3):587-9.

Thelander HE. Perforation of the gastrointestinal tract of the newborn infant. Am J Dis Childr. 1939;58(2):371-93.

Sabetay C, Popescu I, Ciuce C. Tratat de chirurgie–volumul III-Chirurgie pediatr. Editia a II-a. Edit Acad Romane; 2013.

Saleh N, Geipel A, Gembruch U, Heep A, Heydweiller A, Bartmann P, et al. Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med. 2009;37(5):535-8.

Chan KL, Tang MH, Tse HY, Tang RY, Tam PK. Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prena Diag. 2005;25(8):676-82.

Hajivassiliou CA. Intestinal obstruction in neonatal/pediatric surgery. In Semi Pediatr Surg 2003;12,4:241-53.

Karimi A, Gorter RR, Sleeboom C, Kneepkens CM, Heij HA. Issues in the management of simple and complex meconium ileus. Pediatr Surg Intern. 2011;27(9):963-8.

Nam SH, Kim SC, Kim DY, Kim AR, Kim KS, Pi SY, Won HS, Kim IK. Experience with meconium peritonitis. J Pediatr Surg. 2007;42(11):1822-5.

Tseng JJ, Chou MM. Meconium Peri to ni tis in Utero: Pre na tal Sonographic Find ings and Clin i cal Im pli ca tions. J Chin Med Assoc. 2003;66:355-9.

Imagerie DU. Imagerie d'une péritonite méconiale à présentation clinique pseudotumorale. J Radiol. 1997;78:1288-90.

Casaccia G, Trucchi A, Nahom A, Aite L, Lucidi V, Giorlandino C, et al. The impact of cystic fibrosis on neonatal intestinal obstruction: the need for prenatal/neonatal screening. Pediatr Surg Intern. 2003;19(1-2):75-8.

Ya-Xiong S, Lian-Chen S. Meconium peritonitis-observations in 115 cases and antenatal diagnosis. Z Kinderchir. 1982;37(09):2-5.

Downloads

Published

2019-11-26

Issue

Section

Case Reports