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KMID : 0371320020620010077
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Journal of the Korean Surgical Society
2002 Volume.62 No. 1 p.77 ~ p.81
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Meconium Peritonitis 15 Cases Studies
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Kim Kang-Seok
Park Heung-Kyu
Park Yeon-Ho
Min Seung-Ki
Cho Seung-Yeon
Lee Woon-Ki
Lee Young-Don
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Abstract
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Purpose : Meconium peritonitis is a form of aseptic, chemical peritonitis that results from a perforation of the gut during the intrauterine or perinatal period. The rarity of the disease resulted in few survivors up to the 1950’s.
However,
the
constantly increasing survival rate has followed an aggressive surgical management, along with a more thorough understanding of the etiological and pathological variations likely to be encountered. This study was performed to analyze our past 10
years’
experience with meconium peritonitis.
Methods : The hospital records of 15 patients treated between January 1991 to December 2000 were retrospectively reviewed.
Results : The male to female sex ratio was 2：1, and the age at surgery varied from at the time of birth to 48 days. The clinical manifestations included marked abdominal distension (13 cases), respiratory distress (8 cases), billous
vomiting (5
cases) and scrotal swelling (1 case). Radiological findings included air-fluid level (7 cases), calcification (4 cases) and pneumoperitoneum (3 cases). The prenatal ultrasonography demonstrated dilated loops of bowel, septated fetal ascites and
calcification. The leading cause of perforation was small bowel atresia (8 cases). A primary end-to-end anastomosis was performed in 10 cases. Generalized type (8 cases) was the most common finding of meconium peritonitis. 86% of patients
survived
without long-term complications.
Conclusion : Early recognition and proper management offer the greatest opportunity for survival in cases of meconium peritonitis.
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