Meconium peritonitis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Meconium peritonitis | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal distension, vomiting, failure to pass meconium |
| Complications | Intestinal obstruction, perforation, Sepsis |
| Onset | Prenatal or at birth |
| Duration | Varies |
| Types | N/A |
| Causes | Cystic fibrosis, Intestinal atresia, volvulus |
| Risks | Premature birth, Maternal diabetes |
| Diagnosis | Ultrasound, X-ray, MRI |
| Differential diagnosis | Necrotizing enterocolitis, Hirschsprung's disease, Intestinal atresia |
| Prevention | N/A |
| Treatment | Surgery, Antibiotics |
| Medication | N/A |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Meconium peritonitis is a rare, life-threatening condition that can occur in the fetus or newborn. It is characterized by the presence of meconium in the peritoneal cavity, which can lead to inflammation and infection. This condition is often associated with cystic fibrosis and other gastrointestinal disorders.
Causes
Meconium peritonitis is caused by the rupture of the bowel in utero, which allows meconium to leak into the peritoneal cavity. This can occur as a result of a number of factors, including bowel obstruction, volvulus, or atresia. In some cases, the cause of the rupture is unknown.
Symptoms
The symptoms of meconium peritonitis can vary depending on the severity of the condition. In some cases, the condition may be asymptomatic. In others, symptoms may include abdominal distension, vomiting, and failure to pass meconium. In severe cases, the condition can lead to peritonitis and sepsis.
Diagnosis
Diagnosis of meconium peritonitis is typically made through ultrasound imaging, which can reveal the presence of meconium in the peritoneal cavity. In some cases, the condition may be diagnosed postnatally through physical examination and imaging studies.
Treatment
Treatment for meconium peritonitis typically involves surgical intervention to repair the bowel and remove the meconium from the peritoneal cavity. In some cases, antibiotics may also be administered to treat any associated infection.
Prognosis
The prognosis for meconium peritonitis is generally good, with most infants surviving with appropriate treatment. However, the condition can be associated with long-term complications, including bowel obstruction and infertility.
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Contributors: Prab R. Tumpati, MD