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Meconium peritonitis

From Wikipedia, the free encyclopedia
Medical condition
Meconium peritonitis
X-ray of a newborn with meconium pseudocyst resulting from bowel perforation. In this case the cause wasatresia of the terminalileum. There is a fine rim of calcification surrounding the bigpseudocyst which shifts the other intestinal structures outwards.
SpecialtyPediatrics Edit this on Wikidata

Meconium peritonitis refers torupture of thebowel 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 peritonitisin utero have normal bowels and have no further issues.

Infants withcystic fibrosis are at increased risk for meconium peritonitis.

Diagnosis

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Twenty percent of infants born with meconium peritonitis will havevomiting and dilated bowels onx-rays which necessitates surgery.[citation needed]

Meconium peritonitis is sometimes diagnosed on prenatalultrasound[1] where it appears as calcifications[2] within the peritoneum.

Treatment

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Adhesiolysispartial resection of pseudocystcovering enterostomy.[citation needed]

History

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Meconium peritonitis was first described in 1838 byCarl von Rokitansky.[citation needed]

References

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  1. ^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.
  2. ^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.

External links

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Classification
Conditions originating in theperinatal period /fetal disease
Maternal factors
complicating pregnancy,
labour or delivery
placenta
chorion/amnion
umbilical cord
presentation
Growth
Birth trauma
Affected systems
Respiratory
Cardiovascular
Bleeding and
hematologic disease
Gastrointestinal
Integument and
thermoregulation
Nervous system
Musculoskeletal
Infections
Other
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