Correlation of Prenatal Ultrasound and Postnatal Outcome in Meconium Peritonitis

2003 ◽  
Vol 18 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Ming-Kwang Shyu ◽  
Jin-Chung Shih ◽  
Chien-Nan Lee ◽  
Hsiao-Lin Hwa ◽  
Song-Nan Chow ◽  
...  
2014 ◽  
Vol 44 (S1) ◽  
pp. 236-236
Author(s):  
H. Won ◽  
Y. Lim ◽  
M. Lee ◽  
J. Shim ◽  
P. Lee ◽  
...  

2020 ◽  
Vol 08 (01) ◽  
pp. e1-e2
Author(s):  
Rudolph Ascherl ◽  
Duarte Vaz Pimentel ◽  
Mathias Knüpfer ◽  
Ina Sorge ◽  
Martin Lacher ◽  
...  

AbstractWe report on a male preterm newborn with a large abdominal tumor found on prenatal ultrasound 2 weeks prior to delivery at 36 + 0 weeks of gestation. A postnatal abdominal plain film showed a mass with well-defined rim calcifications (“eggshell”), suggestive of a meconium pseudocyst. On the 4th day of life, the boy underwent exploratory laparotomy with resection of the cyst and end-to-back jejunojejunostomy. The postoperative course was uneventful. A meconium pseudocyst is the correlate of a sterile peritonitis caused by antenatal bowel perforation. It is an easily recognizable spot diagnosis any pediatrician and pediatric surgeon should be aware of.


2003 ◽  
Vol 29 (5) ◽  
pp. S209-S210
Author(s):  
V. Ravishankar ◽  
R.A. Ehrenkranz ◽  
J.A. Copel ◽  
U. Magriples

2010 ◽  
Vol 11 ◽  
pp. S95-S96
Author(s):  
A.E. Dereymaeker ◽  
A. Debeer ◽  
L. De Catte ◽  
R. Devlieger ◽  
L. Breysem ◽  
...  

2017 ◽  
Vol 40 (03) ◽  
pp. 333-339 ◽  
Author(s):  
Brigitte Strizek ◽  
Aikaterini Zamprakou ◽  
Ingo Gottschalk ◽  
Maria Roethlisberger ◽  
Astrid Hellmund ◽  
...  

Abstract Purpose To assess the anatomic variants, associated anomalies and postnatal outcome of fetuses with a prenatally diagnosed agenesis of ductus venosus (ADV). Materials and Methods Retrospective study of 119 cases with agenesis of ductus venosus diagnosed by prenatal ultrasound in two tertiary referral centers from 2006 to 2014. The type and location of the umbilical venous drainage site was noted. Charts were reviewed for associated structural or chromosomal anomalies, pregnancy outcome and postnatal course. Results In 24 cases (20.2 %) ADV was an isolated finding, while 95 cases (79.8 %) had associated anomalies. We identified 84 cases (70.6 %) with intrahepatic and 35 cases (29.4 %) with extrahepatic drainage of the umbilical vein. 58.8 % of neonates were alive at follow-up. There was no statistical association between drainage site and associated anomalies or outcome. Postnatal outcome was determined by the presence and severity of associated anomalies. There was no adverse outcome in the isolated group related to ADV. Overall, there were 6 persistent portosystemic shunts, 3 of them with a spontaneous closure, and one total agenesis of the portal venous system with lethal outcome. Conclusion Postnatal outcome in cases with ADV mainly depends on the presence of associated anomalies. In isolated cases the prognosis is generally good, but neonates with a prenatally diagnosed portosystemic shunt should be followed until its occlusion. Portal venous system agenesis is rare but should be ruled out on prenatal ultrasound.


2010 ◽  
Vol 53 (2) ◽  
pp. 119
Author(s):  
Byung Hun Kang ◽  
Heung Tae Noh ◽  
Yun Ee Rhee ◽  
Ki Hwan Lee ◽  
Young Bok Ko ◽  
...  

Author(s):  
Shiri Shinar ◽  
Swati Agrawal ◽  
Michelle Ryu ◽  
Tim Van Mieghem ◽  
Alan Daneman ◽  
...  

Abstract Purpose To describe the postnatal outcome of fetal meconium peritonitis and identify prenatal predictors of neonatal surgery. Methods We retrospectively reviewed all fetuses with ultrasound findings suspicious for meconium peritonitis at a single center over a 10-year period. A systematic review and meta-analysis were then performed pooling our results with previous studies assessing prenatally diagnosed meconium peritonitis and postnatal outcome. Prenatal sonographic findings were analyzed to identify predictors for postnatal surgery. Results 34 cases suggestive of meconium peritonitis were diagnosed at our center. These were pooled with cases from 14 other studies yielding a total of 244 cases. Postnatal abdominal surgery was required in two thirds of case (66.5 %). The strongest predictor of neonatal surgery was meconium pseudocyst (OR [95 % CI] 6.75 [2.53–18.01]), followed by bowel dilation (OR [95 % CI] 4.17 [1.93–9.05]) and ascites (OR [95 % CI] 2.57 [1.07–5.24]). The most common cause of intestinal perforation and meconium peritonitis, found in 52.2 % of the cases, was small bowel atresia. Cystic fibrosis was diagnosed in 9.8 % of cases. Short-term neonatal outcomes were favorable, with a post-operative mortality rate of 8.1 % and a survival rate of 100 % in neonates not requiring surgery. Conclusion Meconium pseudocysts, bowel dilation, and ascites are prenatal predictors of neonatal surgery in cases of meconium peritonitis. Fetuses with these findings should be delivered in centers with pediatric surgery services. Though the prognosis is favorable, cystic fibrosis complicates postnatal outcomes.


2000 ◽  
Vol 16 ◽  
pp. 60-60
Author(s):  
C. F. A. Peralta ◽  
V. Bunduki ◽  
J. P. Plese ◽  
R. M. Yamamoto ◽  
S. Miyadahira ◽  
...  

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