Meconium peritonitis in utero View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-07

AUTHORS

Shinkichi Kamata, Keisuke Nose, Shiroh Ishikawa, Noriaki Usui, Toshio Sawai, Yasuhiro Kitayama, Hirohmi Okuyama, Kenji Imura, Akira Okada

ABSTRACT

To clarify the relationship between clinical features in utero and postnatal prognosis, 20 fetuses who underwent ultrasonic (US) evaluation for meconium peritonitis (MP) over a 17-year period were reviewed. According to final US findings in utero, patients were classified into three types. Type I (massive meconium ascites) was noted is 5 cases, type II (giant pseudocyst) in 4, and the other 11 were classified as type III (calcification and/or small pseudocyst). Abdominal calcifications were identified in only 5 cases (2 type I, 1 type II, 2 type III). Seven fetuses who had associated polyhydramnios (1 Type I, 1 Type II, 2 Type III) and fetal hydrops (3 Type II) were delivered before 36 weeks' gestation. Cardiopulmonary resuscitation at birth was required in 9 cases (5 type I, 4 type II) who underwent abdominal drainage before delivery and/or immediately after birth. Although dilatation of the intestine was identified in 10 fetuses (2 type II, 8 Type III), 18 had intestinal atresia and 2 had fecal obstruction of the distal ileum. Four infants (2 type I, 1 type II, 1 type III) died of respiratory failure and postoperative complications. These results indicated that careful fetal US may be useful for perinatal management of MP. More... »

PAGES

377-379

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s003830000354

DOI

http://dx.doi.org/10.1007/s003830000354

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1017396007

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10955566


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