J Korean Assoc Pediatr Surg.  1995 Jun;1(1):59-62. 10.13029/jkaps.1995.1.1.59.

Generalized Meconium Peritonitis Diagnosed with Antenatal Ultrasonography

Affiliations
  • 1Department of Surgery, University of Ulsan, College of Medicine and Asan Medical Center, Seoul, Korea.
  • 2Department of Radiology, University of Ulsan, College of Medicine and Asan Medical Center, Seoul, Korea.

Abstract

Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital pertoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfullY treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

Keyword

Meconium; Peritonitis; Antenatal diagnosis

MeSH Terms

Abdominal Cavity
Constriction, Pathologic
Dilatation
Gastroschisis
Gestational Age
Hernia
Ileum
Ileus
Intestinal Atresia
Intestinal Volvulus
Intestines
Intussusception
Meconium*
Peritonitis*
Prenatal Diagnosis
Ultrasonography*
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