Antepartum Diagnosis and Management of in Utero Intestinal Volvulus with Perforation

Baxi, Laxmi; Yeh, Ming‐Neng; Blanc, William A.; Schullinger, John N.

doi:10.1056/nejm198306233082508

Cited by 43 publications

(41 citation statements)

References 10 publications

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“…The extraluminal meconium leak is caused by an intestinal perforation and results in intraabdominal calcification, ascites, polyhydramnios, and bowel distention (Baxi et al, 1983;Foster et al, 1987). However, in most cases, the perforation seals spontaneously prenatally and no further postnatal surgical intervention is needed (Zelop and Benacerraf, 1994;Chitayat et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

Familial ileal perforation: prenatal diagnosis and postnatal follow-up

et al. 1998

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We report sibs (a brother and a sister) who presented prenatally with ultrasound findings of meconium peritonitis and postnatally were found to have perforation of the terminal ileum. The sister presented with fetal ultrasound findings of severe ascites and peritoneal calcifications. She had no prenatal intervention and was born at 38 weeks' gestation. Laparatomy revealed perforation of the terminal ileum with meconium peritonitis. Her post‐surgical course was uncomplicated and at 30 months of age her growth and development are normal. Her brother presented prenatally with signs of meconium peritonitis including severe ascites and peritoneal calcifications. Prenatal aspiration of the ascitic fluid was performed and unlike his sister he was born prematurely, was operated on at 8 days, and developed bronchopulmonary dysplasia. He is currently 1 year old and has normal growth and development. The aetiology of the ileal perforation is not known. There were no findings suggesting connective tissue disorder and the aetiology of the intestinal perforation is not known. The occurrence of the same rare abnormality in sibs of different sexes points towards an autosomal recessive disorder. © 1998 John Wiley & Sons, Ltd.

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Section: Discussionmentioning

confidence: 99%

Familial ileal perforation: prenatal diagnosis and postnatal follow-up

et al. 1998

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“…The etiology of bowel perforation includes volvulus, intussusception, atresia, Meckel's diverticulum or cystic fibrosis [4,9,12,20]. Recently, congenital infection with rubella and parvovirus B19 has been reported [21,22].…”

Section: Discussionmentioning

confidence: 99%

Correlation of Prenatal Ultrasound and Postnatal Outcome in Meconium Peritonitis

et al. 2003

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Objectives: To study the relationship between prenatal ultrasound features and postnatal course of meconium peritonitis. Methods: Meconium peritonitis was diagnosed by prenatal ultrasound. Fetuses were treated by intrauterine paracentesis of ascites when indicated, and symptomatic newborns received surgery. Results: Totally 17 cases were enrolled. Prenatal ultrasound findings include abdominal calcification (16/17), fetal ascites (12/17), hydramnios (9/17), pseudocyst (7/17) and dilated bowel loop (6/17). Persistent ascites, pseudocyst or dilated bowel loop are most sensitive (92%) to predict postnatal surgery (p = 0.022). The survivors have a higher gestational age at birth (36.4 vs. 33.3 weeks, p = 0.008). Persistent ascites and postnatal persistent pulmonary hypertension of the newborns significantly correlate with neonatal mortality (p = 0.029 and 0.022). Conclusion: Prenatal ultrasound can predict the neonatal outcome in meconium peritonitis.

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“…CS of a fetus with a severely distended abdomen is difficult and risky. Such risk would be minimized by fetal paracentesis and CS would not be necessary in most cases [11]. …”

Section: Discussionmentioning

confidence: 99%

“…Few cases of MPC were reported to have intrapartum fetal paracentesis prior to vaginal delivery [6, 11], but previous reports lack the guidance of fetal measurements of HC and its relation to AC.…”

Section: Discussionmentioning

confidence: 99%

Does Meconium Peritonitis Pseudo-Cyst Obstruct Labour?

Tawil

Salhi

Sultan

et al. 2012

Case Reports in Obstetrics and Gynecology

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Meconium peritonitis pseudo-cyst is very rare. Its perinatal management is controversial and can be associated with increased fetomaternal morbidity and mortality. A 34-week gestation infant with large meconium peritonitis pseudo-cyst, detected by intrapartum fetal ultrasound study, had abnormally increased ratio of fetal abdominal circumference to head circumference. Intrapartum aspiration of the pseudo-cyst was performed and was followed by a smooth vaginal delivery. The postnatal course of the baby showed that early laparotomy was essential for stabilisation of the infant's general condition.

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Antepartum Diagnosis and Management of in Utero Intestinal Volvulus with Perforation

Cited by 43 publications

References 10 publications

Familial ileal perforation: prenatal diagnosis and postnatal follow-up

Familial ileal perforation: prenatal diagnosis and postnatal follow-up

Correlation of Prenatal Ultrasound and Postnatal Outcome in Meconium Peritonitis

Does Meconium Peritonitis Pseudo-Cyst Obstruct Labour?

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