Meconium plug syndrome

Case contributed by Stefan Ludwig

Patient Data

Age: Neonate

Plain film shows dilated bowel loops.


Lower GI contrast study with multiple filling defects of meconium plugs.


Meconium cast which passed as the enema was performed.

Case Discussion

  • neonate with symptoms of a meconium plug syndrome

  • plain film shows dilated bowel loops

  • enema study shows microcolon with a long cylindrical filling defect in the sigmoid and descending colon

  • water-soluble contrast enema induced meconium passage

  • in the photo, a meconium cast is demonstrated, which passed as the enema was performed

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