Meconium ileus

Case contributed by Juan Carlos Santizo Castillo
Diagnosis certain

Presentation

Newborn with abdominal distension and vomiting. Failure to pass meconium

Patient Data

Age: 2 days
Gender: Male
Fluoroscopy

Images show dilated small bowel loops. Contrast enema reveals a normal rectum along with microcolon. There are multiple filling defects in the ascending, transverse and descending segments of colon representing meconium.

Case Discussion

Typical imaging findings in meconium ileus. Associated with cystic fibrosis.

Ileal perforation and meconium peritonitis are potential complications.

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