Meconium Peritonitis: A Rare Treatable Cause of Non-Immune Hydrops / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 576-580, 2019.
Article
in English
| WPRIM
| ID: wpr-760883
ABSTRACT
Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such a rare occurrence. In our case, a routine antenatal scan at 25 weeks revealed isolated ascites. By 31 weeks of gestation, all features of hydrops were observed in scans. However, antenatal workup for immune and non-immune hydrops was negative. Subsequently, a preterm hydropic female baby was delivered at 32 weeks. She required intubation and ventilator support. An X-ray revealed calcification in the abdomen suggestive of meconium peritonitis. Ultrasound showed gross ascites, a giant cyst compressing the inferior vena cava, and minimal bilateral pleural effusion. Emergency laparotomy revealed meconium pellets and perforation of the ileum. Double-barrel ileostomy was performed, and the edema resolved and activity improved. The baby was discharged after 3 weeks. Ileostomy closure was done at follow-up. The baby is growing well.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Pleural Effusion
/
Ascites
/
Vena Cava, Inferior
/
Ileostomy
/
Hydrops Fetalis
/
Ventilators, Mechanical
/
Follow-Up Studies
/
Ultrasonography
/
Edema
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Pediatric Gastroenterology, Hepatology & Nutrition
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS