Meconium peritonitis refers to rupture of the bowel prior to birth, resulting in fetal stool (meconium) escaping into the surrounding space (peritoneum) leading to inflammation (peritonitis). Despite the bowel rupture, many infants born after meconium peritonitis in utero have normal bowels and have no further issues.
| Meconium peritonitis | |
|---|---|
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| X-ray of a newborn with meconium pseudocyst resulting from bowel perforation. In this case the cause was atresia of the terminal ileum. There is a fine rim of calcification surrounding the big pseudocyst which shifts the other intestinal structures outwards. | |
| Specialty | Pediatrics  |
Infants with cystic fibrosis are at increased risk for meconium peritonitis.
Signs and symptoms
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Diagnosis
editTwenty percent of infants born with meconium peritonitis will have vomiting and dilated bowels on x-rays which necessitates surgery.[citation needed]
Meconium peritonitis is sometimes diagnosed on prenatal ultrasound[1] where it appears as calcifications[2] within the peritoneum.
Treatment
editAdhesiolysis partial resection of pseudocyst covering enterostomy.[citation needed]
History
editMeconium peritonitis was first described in 1838 by Carl von Rokitansky.[citation needed]
References
edit- ^ Tseng JJ, Chou MM, Ho ES (June 2003). "Meconium peritonitis in utero: prenatal sonographic findings and clinical implications". J Chin Med Assoc. 66 (6): 355–9. PMID 12889504.
- ^ Dirkes, K; Crombleholme, TM; Craigo, SD; Latchaw, LA; Jacir, NN; Harris, BH; D'Alton, ME (July 1995). "The natural history of meconium peritonitis diagnosed in utero". Journal of Pediatric Surgery. 30 (7): 979–82. doi:10.1016/0022-3468(95)90325-9. PMID 7472957.