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Meconium ileus

Case contributed by Dr Jeremy Jones


Failure to pass meconium. Abdominal distension.

Patient Data

Age: 2 day (term)
Gender: Male

Gas-filled dilated small bowel loops centrally.


There is a microcolon. Contrast reaches the mid-point of the transverse colon, but despite multiple attempts and changes of position, contrast reaches no further.

Case Discussion

Microcolon and failure to pass the point of potential obstruction suggest a differential of meconium ileus or small bowel atresia. Meconium ileus is more likely.

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Case information

rID: 62785
Published: 29th Aug 2018
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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