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Clinical Proceedings - Children's... Apr 1955
Topics: Child; Fetal Diseases; Humans; Infant; Infant, Newborn, Diseases; Meconium; Peritonitis
PubMed: 13250758
DOI: No ID Found -
Archives. Middlesex Hospital Jan 1954
Topics: Child; Fetal Diseases; Humans; Infant; Infant, Newborn, Diseases; Meconium; Peritonitis
PubMed: 13125734
DOI: No ID Found -
The Journal of the Faculty of... Jul 1953
Topics: Child; Fetal Diseases; Humans; Infant; Infant, Newborn, Diseases; Meconium; Peritonitis
PubMed: 24542556
DOI: 10.1016/s0368-2242(53)80038-2 -
The American Surgeon Jun 1969
Topics: Female; Gestational Age; Humans; Infant, Newborn; Infant, Newborn, Diseases; Meconium; Peritonitis; Pregnancy
PubMed: 5770203
DOI: No ID Found -
The American Surgeon May 1955
Topics: Child; Humans; Infant; Infant, Newborn, Diseases; Meconium; Peritonitis
PubMed: 14362011
DOI: No ID Found -
Revista Chilena de Pediatria 1988
Topics: Female; Humans; Infant, Newborn; Infant, Premature; Male; Meconium; Peritonitis; Prenatal Diagnosis; Ultrasonography
PubMed: 3070656
DOI: No ID Found -
Pediatric Radiology 1992Meconium peritonitis is a chemical peritonitis usually resulting from antenatal bowel rupture. Prenatal ultrasound findings include ascites, intraabdominal masses, bowel...
Meconium peritonitis is a chemical peritonitis usually resulting from antenatal bowel rupture. Prenatal ultrasound findings include ascites, intraabdominal masses, bowel dilatation and the development of intraabdominal calcifications [1-5]. The most common bowel disorders which lead to meconium peritonitis in utero are those resulting in bowel obstruction and perforation, such as small bowel atresias, volvulus and meconium ileus [1-5]. Meconium ileus is associated with cystic fibrosis in most cases, although extraluminal abdominal calcifications are usually scarce in cases of cystic fibrosis [1, 6]. Postnatal outcome for infants with meconium peritonitis depends on the etiology for bowel rupture and underlying disease.
Topics: Ascites; Cystic Fibrosis; Female; Fetal Diseases; Humans; Infant, Newborn; Intestinal Perforation; Male; Meconium; Peritonitis; Pregnancy; Ultrasonography, Prenatal
PubMed: 1523051
DOI: 10.1007/BF02019858 -
Radiology Aug 1981Meconium peritonitis occasionally occurs as a localized collection of meconium contained in a cyst made of fibrous granulation tissue. The cyst may contain only meconium...
Meconium peritonitis occasionally occurs as a localized collection of meconium contained in a cyst made of fibrous granulation tissue. The cyst may contain only meconium or also encase loops of bowel. One such case is reported.
Topics: Cysts; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Meconium; Peritonitis; Radiography
PubMed: 7255712
DOI: 10.1148/radiology.140.2.7255712 -
Fetal Diagnosis and Therapy 2017To identify the fetal and neonatal imaging characteristics of meconium peritonitis (MP) and their clinical outcome. We also studied the role of prenatal ultrasound (US)...
OBJECTIVE
To identify the fetal and neonatal imaging characteristics of meconium peritonitis (MP) and their clinical outcome. We also studied the role of prenatal ultrasound (US) in antenatal diagnosis and its use in predicting the need for surgical intervention postnatally.
MATERIAL AND METHODS
We conducted a retrospective analysis of a cohort of 18 infants with MP from April 2004 to March 2014.
RESULTS
Prenatal US detected MP-related abnormalities in 15/18 (83.3%) fetuses. The median gestational age at initial diagnosis of MP was 24 weeks (range 19-31). Fetal ascites (93.3%) was the most common prenatal US finding. Of the 18 infants, 12 (66.7%) required surgical intervention. The overall survival rate was 94.4%. All infants with a prenatal US scan showing meconium pseudocyst or bowel dilatation required surgical intervention postnatally.
DISCUSSION
A combination of ascites, intraperitoneal calcification, and echogenic bowel on fetal US raises a high suspicion of MP. Surgical intervention is indicated in the presence of meconium pseudocyst on fetal or postnatal US scan. Antenatal US has high specificity (100%) but low sensitivity (22.2%) in detecting meconium pseudocyst. A favorable outcome can be expected with early antenatal diagnosis and timely surgical intervention in a tertiary hospital.
Topics: Ascites; Cohort Studies; Combined Modality Therapy; Digestive System Abnormalities; Female; Follow-Up Studies; Gestational Age; Humans; Incidence; Infant, Newborn; Intestinal Perforation; Intestine, Small; Male; Meconium; Peritonitis; Postoperative Complications; Pregnancy; Prognosis; Retrospective Studies; Singapore; Survival Analysis; Ultrasonography, Prenatal
PubMed: 27649500
DOI: 10.1159/000449380 -
Pediatric Surgery International 2000To clarify the relationship between clinical features in utero and postnatal prognosis, 20 fetuses who underwent ultrasonic (US) evaluation for meconium peritonitis (MP)...
To clarify the relationship between clinical features in utero and postnatal prognosis, 20 fetuses who underwent ultrasonic (US) evaluation for meconium peritonitis (MP) over a 17-year period were reviewed. According to final US findings in utero, patients were classified into three types. Type I (massive meconium ascites) was noted is 5 cases, type II (giant pseudocyst) in 4, and the other 11 were classified as type III (calcification and/or small pseudocyst). Abdominal calcifications were identified in only 5 cases (2 type I, 1 type II, 2 type III). Seven fetuses who had associated polyhydramnios (1 Type I, 1 Type II, 2 Type III) and fetal hydrops (3 Type II) were delivered before 36 weeks' gestation. Cardiopulmonary resuscitation at birth was required in 9 cases (5 type I, 4 type II) who underwent abdominal drainage before delivery and/or immediately after birth. Although dilatation of the intestine was identified in 10 fetuses (2 type II, 8 Type III), 18 had intestinal atresia and 2 had fecal obstruction of the distal ileum. Four infants (2 type I, 1 type II, 1 type III) died of respiratory failure and postoperative complications. These results indicated that careful fetal US may be useful for perinatal management of MP.
Topics: Ascites; Calcinosis; Cause of Death; Cysts; Female; Fetal Diseases; Follow-Up Studies; Humans; Infant, Newborn; Intestinal Obstruction; Male; Meconium Aspiration Syndrome; Peritonitis; Pregnancy; Pregnancy Outcome; Prognosis; Risk Factors; Severity of Illness Index; Ultrasonography, Prenatal
PubMed: 10955566
DOI: 10.1007/s003830000354