Meconium peritonitis caused by a rupture of a Meckel's diverticulum in anewborn infant

A Febrile Infant With Abdominal Erythema and Irritability

“…A Meckel’s diverticulum is a true diverticulum that involves all 3 layers of the bowel wall. 1 , 2 , 12 It is a vestigial remnant of the omphalomesenteric duct, also known as the vitelline duct or yolk stalk. 1 , 12 Diagnosis of a Meckel’s diverticulum is typically made only when pursued due to clinical complications, and is challenging since CT and ultrasound may conflate a diverticulum as normal bowel.…”

“… 1 , 2 , 12 It is a vestigial remnant of the omphalomesenteric duct, also known as the vitelline duct or yolk stalk. 1 , 12 Diagnosis of a Meckel’s diverticulum is typically made only when pursued due to clinical complications, and is challenging since CT and ultrasound may conflate a diverticulum as normal bowel. A technetium-99m pertechnetate scan is considered the gold standard, but is not widely available, and is specific only to the Meckel’s diagnosis.…”

Perforated Meckel’s diverticulum in neonates: a report of six cases and systematic review of the literature

“…There is no evidence to suggest that the perforations occur antenatally and it would be rare for this to be detected as expectant mothers are not routinely subjected to ultrasound screening in the last days of pregnancy. Gilbert et al, reported a neonate who died before any intervention and suspected the perforation to be antenatal [49]. The etiology of perforated MD is elusive, and many theories have been put forth.…”

Fibroadhesive Meconium Peritonitis

“…18, N o. 2,1994 along the peritoneal surface ( 7) are visible with US in fibroadhesive meconium peritonitis, together with turbid ascites, (whose internal echoes also follow the decubitus positions) and bowel dilatation and dislocation.…”

“…Intestinal rupture is related to peristalsis, which is not seen before the 5th month of gestation (2). Polyhydramnios is an almost common symptom of mothers when the swallowed amniotic fluid does not pass through the obstructed intestin al tract of the fetus; polyhydramnios becomes evident by the 4th gestational month (3).…”