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A 32 year old woman (gravida 5, para 2) admitted as an emergency patient under the diagnosis of full term pregnancy. The Cesarenan section was necessiated by the mento posterior face presentation of the boby. The baby was cyanotic and expired 40 minutes after birth. Postmortem examination shows an enormously protruded abdomen with extensive amount of ascites, which contain a lot of meconium like material, and dark greenish in color. Evacuating these, atrophic adhesed intestinal loops, which are a little difficult to seperate out, and widely acattered plaques of calcified material in the abdominal wall and visceral surface, are noted. Finally, an obvious conglomeration of organized, serofibrinous clot with bile tinging is noted at one edge of the duodenum, upper part of which, the lumen of duodenum, stomach and esophagus, is empty, despite below this portion is filled with some dull greenish clay colored contents. These findings are regarded as the sealed-off prenatal rupture of duodenum, which had resulted the peritonitis. Left lung shows complete atelectasis, right lung partial atelectasis, and subcutaneous hemonnhage in vault, subarachinoidal congestion in parieto-occiptal region, are noted. The severe degree of meconium peritonum peritonitis finally brought about peripheral circulatory failure and this, with breathing difficulty, has caused the caused the cessation of life.
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