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KMID : 1038820190220060576
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Pediatric Gastroenterology, Hepatology & Nutrition
2019 Volume.22 No. 6 p.576 ~ p.580
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Meconium Peritonitis: A Rare Treatable Cause of Non-Immune Hydrops
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Rajendran Usha Devi
Govindarajan Jeyanthi
Balakrishnan Umamaheswari
Chandrasekaran Ashok
Amboiram Prakash
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Abstract
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Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such a rare occurrence. In our case, a routine antenatal scan at 25 weeks revealed isolated ascites. By 31 weeks of gestation, all features of hydrops were observed in scans. However, antenatal workup for immune and non-immune hydrops was negative. Subsequently, a preterm hydropic female baby was delivered at 32 weeks. She required intubation and ventilator support. An X-ray revealed calcification in the abdomen suggestive of meconium peritonitis. Ultrasound showed gross ascites, a giant cyst compressing the inferior vena cava, and minimal bilateral pleural effusion. Emergency laparotomy revealed meconium pellets and perforation of the ileum. Double-barrel ileostomy was performed, and the edema resolved and activity improved. The baby was discharged after 3 weeks. Ileostomy closure was done at follow-up. The baby is growing well.
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KEYWORD
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Hydrops fetalis, Ascites, Newborn, Meconium, Peritonitis
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