Meconium Peritonitis: A Rare Treatable Cause of Non-Immune Hydrops / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
; : 576-580, 2019.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-760883
Biblioteca responsável:
WPRO
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.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Peritonite
/
Derrame Pleural
/
Ascite
/
Veia Cava Inferior
/
Ileostomia
/
Hidropisia Fetal
/
Ventiladores Mecânicos
/
Seguimentos
/
Ultrassonografia
/
Edema
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Recém-Nascido
/
Gravidez
Idioma:
Inglês
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Ano de publicação:
2019
Tipo de documento:
Artigo