title: Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis.
abstract: The transverse colon is an exceptional location of intestinal duplication. Perforated duplications are rarely described in neonates. Meconium peritonitis (MP) can originate from prenatal perforated intestinal duplication. The authors report a case of a baby girl with prenatal diagnosis of MP. Rapid worsening of clinical aspects at birth and the presence of a pneumoperitoneum on systematic abdominal plain radiographs led to urgent surgery on the 1st day of life. Laparotomy showed a perforated necrotizing tubular duplication of the transverse colon. Removal of the duplication followed by limited segmental colonic resection and double colostomy were carried out. Follow-up was uneventful.
authors.affiliation: Pediatric Surgical Unit, University Hospital, Grenoble, France. CPiolat@chu-grenoble.fr
authors.forename: Christian
authors.initials: C
authors.lastname: Piolat
authors.forename: Jean
authors.initials: J
authors.lastname: N'die
authors.forename: Pierre
authors.initials: P
authors.lastname: Andrini
authors.forename: Mark
authors.initials: M
authors.lastname: Althuser
authors.forename: Pierre-Simon
authors.initials: PS
authors.lastname: Jouk
authors.forename: Catherine
authors.initials: C
authors.lastname: Jacquier
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Dyon
mesh_terms: D003106:Colon / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D003108:Colonic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000150:complications* / Q000000981:diagnostic imaging; D008470:Meconium; D010538:Peritonitis / Q000209:etiology*; D011247:Pregnancy; D016216:Ultrasonography, Prenatal