Meconium plug syndrome treatment with water-soluble contrast enema

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

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