Meconium peritonitis explained

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.

Infants with cystic fibrosis are at increased risk for meconium peritonitis.

Diagnosis

Twenty percent of infants born with meconium peritonitis will have vomiting and dilated bowels on x-rays which necessitates surgery.

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

Treatment

Adhesiolysispartial resection of pseudocystcovering enterostomy.

History

Meconium peritonitis was first described in 1838 by Carl von Rokitansky.

Notes and References

  1. Tseng JJ, Chou MM, Ho ES . Meconium peritonitis in utero: prenatal sonographic findings and clinical implications . J Chin Med Assoc . 66 . 6 . 355–9 . June 2003 . 12889504 .
  2. Dirkes. K. Crombleholme, TM . Craigo, SD . Latchaw, LA . Jacir, NN . Harris, BH . D'Alton, ME . The natural history of meconium peritonitis diagnosed in utero.. Journal of Pediatric Surgery. July 1995. 30. 7. 979–82. 7472957. 10.1016/0022-3468(95)90325-9.