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Pediatrics International : Official... Aug 2021
Topics: Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Meconium; Peritonitis
PubMed: 34121279
DOI: 10.1111/ped.14518 -
Nagoya Journal of Medical Science Feb 2022We reviewed the outcomes of meconium peritonitis and evaluated the safety and feasibility of primary radical surgery for meconium peritonitis. A total of 21 cases of...
We reviewed the outcomes of meconium peritonitis and evaluated the safety and feasibility of primary radical surgery for meconium peritonitis. A total of 21 cases of meconium peritonitis between 2006 and 2020 were retrospectively reviewed. The patients were classified into two groups based on the type of surgery: group I (primary radical surgery, n = 16) and group II (multistage surgery; drainage only or ileostomy, followed by elective surgery, n = 5). Patient backgrounds and surgical outcomes were compared between the two groups. The term of prenatal diagnosis, preoperative white blood cell count, and preoperative catecholamine use were not significantly different between the two groups. Group I included more mature neonates than group II (gestational age at birth, 35w1d vs 30w1d, p = 0.02; birth weight, 2.5 kg vs 1.1 kg, p < 0.01). Preoperative C-reactive protein was significantly lower in group I (0.37 mg/dL vs 2.8 mg/dL, p < 0.05). Operation time, blood loss, time to enteral feeding, and complication rates were not significantly different between the two groups. The surgical outcomes of primary radical surgery were comparable to those of multistage surgery, although the patients' backgrounds were different. Our strategy of selecting one-stage or multiple-stage surgery for treatment of meconium peritonitis, depending on the patient's general condition and degree of intestinal ischemia, was reasonable.
Topics: Feasibility Studies; Female; Gestational Age; Humans; Infant, Newborn; Meconium; Peritonitis; Pregnancy; Retrospective Studies
PubMed: 35392019
DOI: 10.18999/nagjms.84.1.148 -
The Pan African Medical Journal 2023
Topics: Infant, Newborn; Humans; Meconium; Infant, Newborn, Diseases; Peritonitis
PubMed: 37637388
DOI: 10.11604/pamj.2023.45.65.39001 -
AJR. American Journal of Roentgenology Jan 1985
Topics: Calcinosis; Female; Humans; Infant, Newborn; Meconium; Peritonitis; Radiography; Thoracic Diseases
PubMed: 3871130
DOI: 10.2214/ajr.144.1.113 -
Journal of the Medical Association of... Mar 1993A case of meconium peritonitis that was diagnosed ultrasonographically in the third trimester is presented. Fetal ascites, intra-abdominal calcification, left... (Review)
Review
A case of meconium peritonitis that was diagnosed ultrasonographically in the third trimester is presented. Fetal ascites, intra-abdominal calcification, left communicating hydrocele, and polyhydramnios were detected on antenatal ultrasonography. Specks of calcification were also demonstrated on abdominal radiography postnatally. Laparotomy confirmed the diagnosis of perforated terminal ileum with meconium peritonitis. The obstetric and neonatal implications of meconium peritonitis are discussed with literature review.
Topics: Adult; Female; Fetal Diseases; Humans; Infant, Newborn; Male; Meconium; Peritonitis; Pregnancy; Pregnancy Trimester, Third; Ultrasonography, Prenatal
PubMed: 8228714
DOI: No ID Found -
Fetal Diagnosis and Therapy 2008Meconium peritonitis (MP) is defined as a sterile inflammatory reaction in the fetal abdomen that is seen in cases of intrauterine bowel perforation. Recently, there... (Review)
Review
Meconium peritonitis (MP) is defined as a sterile inflammatory reaction in the fetal abdomen that is seen in cases of intrauterine bowel perforation. Recently, there have been increasing numbers of fetuses with MP prenatally diagnosed by ultrasonography. Massive fetal ascites in MP may cause hydrops and hypoplastic lungs. However, antepartum management of MP has not yet been established. We encountered a fetus with MP and massive ascites. Repeated paracentesis between 29 weeks and 4 days and 31 weeks and 6 days of gestation prevented the progression to fetal hydrops and hypoplastic lungs, which may occur due to massive meconium ascites with an increased preload index. Amniocentesis was also performed in patients with polyhydramnios for treatment of preterm labor. These observations suggest that aggressive therapy can prolong the gestation period and improve MP treatment outcomes.
Topics: Adult; Ascites; Female; Fetal Diseases; Gestational Age; Humans; Ileal Diseases; Infant; Intestinal Perforation; Labor, Induced; Live Birth; Male; Meconium; Paracentesis; Peritonitis; Pregnancy; Reoperation; Ultrasonography, Doppler, Color; Ultrasonography, Doppler, Pulsed; Ultrasonography, Prenatal
PubMed: 18648207
DOI: 10.1159/000142136 -
Prenatal Diagnosis Aug 2005Prenatal ultrasonography (USS) is a routine screening test for fetal abnormalities. Its accuracy for detecting meconium peritonitis (MP), which may carry high mortality,...
OBJECTIVES
Prenatal ultrasonography (USS) is a routine screening test for fetal abnormalities. Its accuracy for detecting meconium peritonitis (MP), which may carry high mortality, is important for prenatal counseling. The aim of this study was to assess the accuracy of prenatal USS for diagnosing MP and predicting patient outcomes.
METHODS
The prenatal and postnatal medical records of all patients referred to our institutions with confirmed MP were reviewed, with emphasis on prenatal USS findings, results of postnatal investigations, operative findings, outcomes, and possible causes of MP.
RESULTS
From January 2000 to November 2004, seven fetuses were confirmed to have MP at birth. Three MP patients (3/7, 43%) were diagnosed prenatally because of USS showing ascites and calcification/dilated or hyperechoic bowel loops. One (1/7, 14.3%) suspected cystic MP was confirmed by prenatal MRI. In the other three cases, USS showed only ascites. All patients had postnatal contrast CT scans. Two patients' CT scans showed persistent intestinal perforation not visible with prenatal USS, and required emergency operations. All patients survived and prospered, and were sweat test negative.
CONCLUSIONS
Prenatal USS allows suspected MP babies to be transferred to a tertiary centre for delivery and appropriate management. In this way, the chances of survival of these babies can be excellent if they are not associated with cystic fibrosis (CF). Prenatal MRI can improve the low diagnostic yield of prenatal USS for MP. Postnatal contrast CT scan is required to define persistent intestinal perforation invisible with prenatal USS.
Topics: Female; Fetal Diseases; Gestational Age; Humans; Intestines; Male; Meconium; Peritonitis; Pregnancy; Radiography; Retrospective Studies; Ultrasonography, Prenatal
PubMed: 16049997
DOI: 10.1002/pd.1221 -
Archives of Internal Medicine Apr 1981A 32-year-old woman underwent cesarean section because of fetal distress. Meconium spilled into the incision during delivery. The patient subsequently had a fever,...
A 32-year-old woman underwent cesarean section because of fetal distress. Meconium spilled into the incision during delivery. The patient subsequently had a fever, right-sided pleuritic chest pain, a right lower lobe infiltrate, and a pleural effusion. Exploratory laparotomy disclosed intra-abdominal fibrosis with inflammatory mass formation. A biopsy specimen showed a granulomatous reaction around the bile-staining material similar to meconium. The patient was treated with prednisone, and her symptoms abated. During the next four years, episodes of fever, abdominal discomfort, and pleuritis recurred, which eventually responded to indomethacin therapy.
Topics: Adult; Cesarean Section; Female; Fetal Distress; Humans; Infant, Newborn; Meconium; Omentum; Peritonitis; Pleural Effusion; Pregnancy
PubMed: 7224748
DOI: No ID Found -
Zeitschrift Fur Kinderchirurgie : Organ... Sep 1981An evaluation of patients with meconium peritonitis shows that, apart from the fibro-adhesive type, the (Pseudo) cystic and the generalized type, a fourth type can be...
An evaluation of patients with meconium peritonitis shows that, apart from the fibro-adhesive type, the (Pseudo) cystic and the generalized type, a fourth type can be distinguished. In a case of this fourth type, the "microscopic" type of meconium peritonitis, no signs of a peritonitis are found on macroscopic examination of the abdominal cavity. Conversely, microscopic examination will reveal meconium components focally outside the bowel. The clinical and histological data of 14 patients are discussed. It is pointed out that a significantly large number of patients with meconium peritonitis also have atresia of the small bowel. Based on the patient evaluation, a hypothesis is brought forward concerning the pathogenesis of these atresias.
Topics: Female; Humans; Ileum; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Atresia; Jejunum; Male; Meconium; Peritonitis
PubMed: 7314963
DOI: 10.1055/s-2008-1063291 -
Taiwanese Journal of Obstetrics &... Oct 2017
Topics: Fetal Diseases; Fetal Therapies; Humans; Infant, Newborn; Male; Meconium; Peritonitis; Taiwan; Ultrasonography, Doppler; Ultrasonography, Prenatal
PubMed: 29037567
DOI: 10.1016/j.tjog.2017.08.024