Microcolon with meconium ileus

Case contributed by Dr Pir Abdul Ahad Aziz Qureshi


Failure to pass meconium, abdominal distention

Patient Data

Age: Neonate
Gender: Female

Scout shows dilated bowel loops.

Water-soluble contrast was given through foleys catheter placed in the rectum which outlines the whole length of the large colon which is diffusely small in caliber representing microcolon. Reflux of contrast into the distal ileum is also noted. Multiple filling defects are seen throughout the colon and in distal ileum representing meconium.

Case Discussion

Water-soluble contrast enema is used in cases of meconium ileus which usually clears the impacted meconium.

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Case information

rID: 60958
Published: 10th Jun 2018
Last edited: 9th Nov 2020
Inclusion in quiz mode: Included
Institution: Liaquat National Hospital

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