Meconium peritonitis

Case contributed by Dr Khairy Abdella

Presentation

Failure of passing meconium associated with bilious vomiting.

Patient Data

Age: 3 days
Gender: Male
CT

CT abdomen

Right lumbar region well defined anteriorly located intra-abdominal calcified wall cystic lesion (giving egg shell appearance) of about (27x7x12 mm) in its various dimensions seen in relation to the inferior surface of the liver. This is associated with multiple dilated small intestinal loops

Case Discussion

Meconium peritonitis is due to intrauterine bowel perforation. Causes of intrauterine bowel perforation are mainly due to atresia or meconium ileus.

In this case meconium peritonitis was due to jejunoileal atresia complicated by cystic type of meconium peritonitis, which was managed surgically. 

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Case information

rID: 39952
Case created: 29th Sep 2015
Last edited: 14th Aug 2016
Inclusion in quiz mode: Included

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