Presentation
Primigravida. Antenatal USG at 20 weeks - no anomaly. Referred for third trimester US. No complaints.
Patient Data
Age: 25 years
Gender: Female
From the case:
Meconium peritonitis
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Peritoneal calcific foci are noted over liver surface, under diaphragm, inner aspect of anterior abdominal wall.
No ascites / dilated bowel loops / high abdominal circumference / intraperitoneal pseudocyst / polyhydramnios.
By LMP - 36 weeks. By Ultrasound - 34 weeks 3 days.
Case Discussion
Calcific foci are highly suggestive of meconium peritonitis.