Antenatal diagnosis and management of meconium peritonitis: a case report and review of the literature.
We present a case of meconium peritonitis which was associated with a short bowel and complicated by progressive bowel distension and difficulty in making a definitive diagnosis of cystic fibrosis. Treatment was by bowel resection and an ileostomy (and later bowel anastomosis), followed by parenteral nutrition which was complicated by hepatitis. The literature is reviewed and management dilemmas and options are discussed.
Department of Obstetrics and Gynaecology, University of Leicester Medical School, UK.
J C
JC
Konje
R
R
de Chazal
U
U
MacFadyen
D J
DJ
Taylor
D000328:Adult; D003550:Cystic Fibrosis / Q000175:diagnosis; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000196:embryology / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D007416:Intestinal Perforation / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D007621:Karyotyping; D008297:Male; D008470:Meconium; D010288:Parenteral Nutrition; D010538:Peritonitis / Q000000981:diagnostic imaging* / Q000196:embryology / Q000601:surgery*; D006831:Polyhydramnios / Q000000981:diagnostic imaging; D011247:Pregnancy; D016216:Ultrasonography, Prenatal