Korean J Obstet Gynecol.  2010 Feb;53(2):119-126. 10.5468/kjog.2010.53.2.119.

Meconium peritonitis: prenatal diagnosis and postnatal outcome

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University of Korea, Daejeon, Korea. butterflyya@hanmail.net

Abstract


OBJECTIVE
To detect meconium peritonitis for the fetal period is important for prenatal counseling. The aim of this study was to evaluate prenatal ultrasound finding for diagnosing meconium peritonitis and postnatal clinical course and outcomes.
METHODS
The prenatal and postnatal medical records of all patients to our institutions with confirmed meconium peritonitis were reviewed, with emphasis on prenatal ultrasound findings, postnatal investigations, operative findings, outcomes of meconium peritonitis.
RESULTS
Fourteen fetuses were confirmed to have meconium peritonitis at birth by operation. Eight cases were diagnosed correctly because of prenatal ultrasound showing ascites and calcification/dilated or hyperechoic bowel loops. In the other 6 cases, prenatal ultrasound showed only ascites. One patient was operated on first day of life and its intra-operative finding was malrotation of small bowel, volvulus with strangulation, perforation and jejunal atresia. Most cases were operated on 2nd or 3rd day of life. Intra-operative findings were ileal atresia and perforation in 11 cases and jejunal atresia and perforation in 3 cases. Four patients underwent ileostomy but all patients survived and prospered.
CONCLUSION
All patients do not present typical prenatal ultrasound findings of meconium peritonitis. Therefore, even in pregnancies associated with isolated ascites, meconium peritonitis should be taken into consideration. Favorable outcome of intrauterine meconium peritonitis is reassuring in prenatal counselling and stems from multidisplinary team approach.

Keyword

Meconium peritonitis; Ultrasonography; Prenatal diagnosis; Outcome

MeSH Terms

Ascites
Counseling
Fetus
Humans
Ileostomy
Intestinal Atresia
Intestinal Volvulus
Meconium
Medical Records
Parturition
Peritonitis
Pregnancy
Prenatal Diagnosis
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