Meconium Peritonitis: A Rare Treatable Cause of Non-Immune Hydrops
10.5223/pghn.2019.22.6.576
- Author:
Usha Devi RAJENDRAN
1
;
Jeyanthi GOVINDARAJAN
;
Umamaheswari BALAKRISHNAN
;
Ashok CHANDRASEKARAN
;
Prakash AMBOIRAM
Author Information
1. Department of Neonatology, Sri Ramachandra Institute of Medical Sciences, Porur, Chennai, India. dr.ushaa@gmail.com
- Publication Type:Case Report
- Keywords:
Hydrops fetalis;
Ascites;
Newborn;
Meconium;
Peritonitis
- MeSH:
Abdomen;
Ascites;
Edema;
Emergencies;
Female;
Follow-Up Studies;
Humans;
Hydrops Fetalis;
Ileostomy;
Ileum;
Infant, Newborn;
Intubation;
Laparotomy;
Meconium;
Peritonitis;
Pleural Effusion;
Pregnancy;
Ultrasonography;
Vena Cava, Inferior;
Ventilators, Mechanical
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2019;22(6):576-580
- CountryRepublic of Korea
- Language:English
-
Abstract:
Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such a rare occurrence. In our case, a routine antenatal scan at 25 weeks revealed isolated ascites. By 31 weeks of gestation, all features of hydrops were observed in scans. However, antenatal workup for immune and non-immune hydrops was negative. Subsequently, a preterm hydropic female baby was delivered at 32 weeks. She required intubation and ventilator support. An X-ray revealed calcification in the abdomen suggestive of meconium peritonitis. Ultrasound showed gross ascites, a giant cyst compressing the inferior vena cava, and minimal bilateral pleural effusion. Emergency laparotomy revealed meconium pellets and perforation of the ileum. Double-barrel ileostomy was performed, and the edema resolved and activity improved. The baby was discharged after 3 weeks. Ileostomy closure was done at follow-up. The baby is growing well.
