Citation, DOI, disclosures and article data
Citation:
Radswiki T, Hapugoda S, Murphy A, et al. In utero bowel perforation. Reference article, Radiopaedia.org (Accessed on 28 Mar 2024) https://doi.org/10.53347/rID-15245
In utero bowel perforation results in a chemical peritonitis (meconium peritonitis) from peritoneal leakage of sterile meconium.
It can result from many causes which include:
The estimated incidence is variable, ranging ~1 in 3000-35,000 births.
Risk factors
Recognized risk factors include:
- maternal narcotic cocaine consumption 2
Antenatal ultrasound
The typical features are those of meconium peritonitis and include:
These are discussed in detail in that article.
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1. Mcnamara A, Levine D. Intraabdominal fetal echogenic masses: a practical guide to diagnosis and management. Radiographics. 25 (3): 633-45. doi:10.1148/rg.253045124 - Pubmed citation
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2. Hall TR, Zaninović A, Lewin D et-al. Neonatal intestinal ischemia with bowel perforation: an in utero complication of maternal cocaine abuse. AJR Am J Roentgenol. 1992;158 (6): 1303-4. AJR Am J Roentgenol (citation) - Pubmed citation
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3. Dunne M, Haney P, Sun CC. Sonographic features of bowel perforation and calcific meconium peritonitis in utero. Pediatr Radiol. 1983;13 (4): 231-3. - Pubmed citation
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4. Avni EF, Avni FE. Perinatal imaging, from ultrasound to MR imaging. Springer Verlag. (2002) ISBN:354067327X. Read it at Google Books - Find it at Amazon
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5. Méndez R, Consuegra JG, Tellado MG et-al. Prenatal diagnosis of fetal bowel obstruction complicated by in utero acute intestinal perforation. BJOG. 2003;110 (3): 335-6. BJOG (link) - Pubmed citation
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