Meconium peritonitis in a preterm infant: a surgical emergency
DOI:
https://doi.org/10.18203/2349-3291.ijcp20211090Keywords:
Meconium peritonitis, Intestinal obstruction, Intestinal perforationAbstract
Meconium peritonitis is sterile chemical peritonitis that occurs after intestinal perforation resulting in meconium leakage and subsequent inflammatory cascade within the peritoneal cavity. The clinical presentations after birth can range from completely sealed-off peritonitis without any symptoms, to severe peritonitis requiring emergency surgical intervention. We describe a case of meconium peritonitis in a premature infant following intestinal perforation. In the immediate postnatal period, the patient was intubated and a peritoneal drain was placed. Laparotomy with bowel resection was performed the following day. The postoperative course was uneventful and the patient was discharged home in good clinical condition.
References
Nam SH, Kim SC, Kim DY. Experience with meconium peritonitis. J Pediatr Surg. 2007;42(11):1822-5.
Wang CN, Chang SD, Chao AS, Wang TH, Tseng LH, Chang YL. Meconium peritonitis in utero---the value of prenatal diagnosis in determining neonatal outcome. Taiwan J Obstet Gynecol. 2008;47(4):391-6.
Chan KL, Tang MH, Tse HY, Tang RY, Tam PK. Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn. 2005;25(8):676-82.
Hamada T, Hirose R, Kosaka T. Giant cystic meconium peritonitis associated with a cloacal anomaly: case report. J Pediatr Surg. 2008;43(3):E21-3.
Reynolds E, Douglass B, Bleacher J. Meconium peritonitis. J Perinatol. 2000;20(3):193-5.
Agrawala G, Predanic M, Perni SC, Chasen ST. Isolated fetal ascites caused by bowel perforation due to colonic atresia. J Matern Fetal Neonatal Med. 2005;17(4):291-4.
Heydenrych JJ, Marcus PB. Meconium granulomas of the tunica vaginalis. J Urol. 1976;115(5):596-8.
Shyu MK, Chen CD, Hsieh FJ, Yau KI, Lin GJ, Lee ML. Intrauterine intervention in a case of recurrent meconium peritonitis. Prenat Diagn. 1994;14(10):993-5.
Rubin BK, Tomkiewicz RP, Patrinos ME, Easa D. The surface and transport properties of meconium and reconstituted meconium solutions. Pediatr Res. 1996;40(6):834-8.
Ramin KD, Leveno KJ, Kelly MA, Carmody TJ. Amniotic fluid meconium: a fetal environmental hazard. Obstet Gynecol. 1996;87(2):181-4.
Tsai MH, Chu SM, Lien R, Huan HR, Luo CC. Clinical manifestations in infants with symptomatic meconium peritonitis. Pediatr Neonatol. 2009;50(2):59-64.
Uchida K, Koike Y, Matsushita K. Meconium peritonitis: Prenatal diagnosis of a rare entity and postnatal management. Intractable Rare Dis Res. 2015;4(2):93-7.
Dirkes K, Crombleholme TM, Craigo SD, et al. The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 1995;30(7):979-82.
Wani AM, Bantan N, Hussain WM, Fatani MI, Shiekh F, Akhtar M. Antenatal diagnosis of fetal meconium peritonitis and decreased postnatal morbidity. BMJ Case Rep. 2009;2009:bcr03:1678.
Sharma D, Murki S, Pratap T. Meconium peritonitis: an interesting entity. BMJ Case Rep. 2014;2014:bcr203536.
Valladares E, Rodríguez D, Vela A, Cabré S, Lailla JM. Meconium pseudocyst secondary to ileum volvulus perforation without peritoneal calcification: a case report. J Med Case Rep. 2010;4:292.