Meconium ileus

Case contributed by Dr Jeremy Jones

Presentation

Failure to pass meconium. Abdominal distension.

Patient Data

Age: 2 day (term)
Gender: Male
X-ray

Gas-filled dilated small bowel loops centrally.

Fluoroscopy

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.

PlayAdd to Share

Case information

rID: 62785
Published: 29th Aug 2018
Last edited: 11th May 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.