Antenatal diagnosis of fetal meconium peritonitis and decreased postnatal morbidity

Wani, Abdul Majid; Bantan, Najwa; Hussain, Waleed Mohd; Fatani, Mohamad Ibrahim; Shiekh, Firdous; Akhtar, M. S.

doi:10.1136/bcr.03.2009.1678

Cited by 3 publications

(1 citation statement)

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“…2,12,13 MP is classified into three groups as per antenatal US findings, Type I: large meconium ascites, Type II: large pseudocyst, Type III: Intra-abdominal calcifications, small meconium ascites, and/or a shrinking pseudocyst. 1,14 The diagnosis can be made by abdominal X-ray of neonates, with varied images, altering according to the etiology of the obstruction or perforation. Meconium undergoes dystrophic calcification resulting in abdominal calcifications on radiographs.…”

Section: Discussionmentioning

confidence: 99%

Meconium peritonitis in a preterm infant: a surgical emergency

Yadav¹,

Agarwal²

2021

Int J Contemp Pediatr

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Meconium peritonitis is sterile chemical peritonitis that occurs after intestinal perforation resulting in meconium leakage and subsequent inflammatory cascade within the peritoneal cavity. The clinical presentations after birth can range from completely sealed-off peritonitis without any symptoms, to severe peritonitis requiring emergency surgical intervention. We describe a case of meconium peritonitis in a premature infant following intestinal perforation. In the immediate postnatal period, the patient was intubated and a peritoneal drain was placed. Laparotomy with bowel resection was performed the following day. The postoperative course was uneventful and the patient was discharged home in good clinical condition.

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