Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis

Piolat, C.; N’Die, Jean; Andrini, P; Althuser, Mark; Jouk, Pierre‐Simon; Jacquier, C.; Dyon, J.F.

doi:10.1007/s00383-004-1349-6

Cited by 15 publications

(10 citation statements)

References 13 publications

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“…The underlying causes of meconium peritonitis thus include meconium ileus, intestinal atresia, stenosis, internal hernia, neonatal Hirschsprung's disease, volvulus, intussusception, extrinsic band, and duplication [4,5,9]. Colonic atresia [10], torsion of a fallopian tube cyst [2], perforated duplications [11] and fetus-in-fetu [12] have been reported as rare causes of meconium peritonitis. In our study, intestinal atresia was the most common cause of meconium peritonitis.…”

Section: Discussionmentioning

confidence: 97%

Experience with meconium peritonitis

Nam

Kim

et al. 2007

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 97%

Experience with meconium peritonitis

Nam

Kim

et al. 2007

Journal of Pediatric Surgery

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“…3 Other rare causes of MP include perforation of Meckel's diverticulum, rectal perforation, perforated intestinal duplication, fetus-in-fetu and perforations caused by parvovirus B19 infection. [4][5][6][7] Early diagnosis and prompt surgical intervention is critical to survival in these patients. The mortality rate becomes very high when they were operated on after the first 24 hours of life.…”

Section: Introductionmentioning

confidence: 99%

Meconium peritonitis in Nigerian Children

et al. 2008

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Background: Meconium peritonitis is a rare disease with a fatal outcome. In Nigeria and Africa, there are only the occasional case reports on the subject matter. Methods: This is a 10-year retrospective study of all patients with meconium peritonitis treated at the University of Maiduguri Teaching Hospital, Maiduguri, Borno State, the Lagos University Teaching Hospital, Lagos State, Obafemi Awolowo University Teaching Hospitals complex, Ile-Ife, Osun State and the Federal Medical Centre Gombe, Gombe State, Nigeria. Results: There were 10 neonates comprising 6 girls and 4 boys. The median age at presentation was 4 days (range 2-6 days). Six of the mothers of the children with meconium peritonitis had a supervised antenatal care and 4 had antenatal ultrasonography but meconium peritonitis was missed. The most common clinical presentation was abdominal distension at birth in 9 of 10 patients. The abdominal Xrays showed calcification and homogenous opacity in 4 patients and pneumoperitoneum in 2 patients. At laparotomy, all the patients had inflammatory adhesion bands and matted bowel loops. The generalized type was the commonest form observed (7 patients) and giant pseudocyst was noted in 2 patients. The commonest sites of perforation were the ileum in 4 patients and jejunum in 3 patients. In one patient the perforation had sealed at laparotomy. Intestinal obstruction was the commonest cause of meconium peritonitis in 7 of 10 patients. In the remaining 3 patients the cause is unknown. The commonest procedure performed was resection and anastomosis (4 patients). The mortality rate was high (50%). Conclusion: Our data revealed the rarity of meconium peritonitis and intestinal obstruction as the commonest cause. It is recommended that in patients with an unidentifiable cause a rectal biopsy should be done to rule out Hirschsprung's disease. Early diagnosis, proper operative procedure and meticulous post-operative care should improve their survival.

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“…It may also be found in the oesophagus, duodenum or stomach. The colonic duplications are very rarely reported and represent about 5–6% of intestinal duplications 3–5. Only 75 tubular duplications of the colon have been described in the literature, out of which most cases occurred mainly in adults 6 7…”

Section: Discussionmentioning

confidence: 99%

“…Tubular colonic duplications usually depict specific criteria: communication with the normal bowel, rare mucosal inclusions of gastric mucosa islets and frequent association with other malformations (vertebral and genitourinary anomalies) 2 5. The proposed embryonic theory to explain this association is the split-notochord theory by Bentley.…”

Section: Discussionmentioning

confidence: 99%