Journal Mobile Options
Table of Contents
Vol. 18, No. 4, 2003
Issue release date: July–August 2003

Correlation of Prenatal Ultrasound and Postnatal Outcome in Meconium Peritonitis

Shyu M.-K. · Shih J.-C. · Lee C.-N. · Hwa H.-L. · Chow S.-N. · Hsieh F.-J.
To view the fulltext, log in and/or choose pay-per-view option

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Objectives: To study the relationship between prenatal ultrasound features and postnatal course of meconium peritonitis. Methods: Meconium peritonitis was diagnosed by prenatal ultrasound. Fetuses were treated by intrauterine paracentesis of ascites when indicated, and symptomatic newborns received surgery. Results: Totally 17 cases were enrolled. Prenatal ultrasound findings include abdominal calcification (16/17), fetal ascites (12/17), hydramnios (9/17), pseudocyst (7/17) and dilated bowel loop (6/17). Persistent ascites, pseudocyst or dilated bowel loop are most sensitive (92%) to predict postnatal surgery (p = 0.022). The survivors have a higher gestational age at birth (36.4 vs. 33.3 weeks, p = 0.008). Persistent ascites and postnatal persistent pulmonary hypertension of the newborns significantly correlate with neonatal mortality (p = 0.029 and 0.022). Conclusion: Prenatal ultrasound can predict the neonatal outcome in meconium peritonitis.



Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Lorimer WS, Ellis DG: Meconium peritonitis. Surgery 1966;60:470–475.
  2. Forouhar F: Meconium peritonitis. Pathology, evolution, and diagnosis. Am J Clin Pathol 1982;78:208–213.
  3. Dillard JP, Edwards DK, Leopold GR: Meconium peritonitis masquerading as fetal hydrops. J Ultrasound Med 1987;6:49–51.
  4. Foster MA, Nyberg DA, Mahony BS, Mack LA, Marks WM, Raabe RD: Meconium peritonitis: Prenatal sonographic findings and their clinical significance. Radiology 1987;165:661–665.
  5. Chalubinski K, Deutinger J, Bernaschek G: Meconium peritonitis: Extrusion of meconium and different sonographical appearances in relation to the stage of the disease. Prenat Diagn 1992;12:631–636.
  6. Graziani M, Bergami GL, Fasanelli S: Fibroadhesive meconium peritonitis: Ultrasonographic features. J Pediatr Gastroenterol Nutr 1994;18:241–243.
  7. Shyu MK, Chen CD, Hsieh FJ, Yau KI, Lin GJ, Lee ML: Intrauterine intervention in a case of recurrent meconium peritonitis. Prenat Diagn 1994;14:993–995.
  8. Dirkes K, Crombleholme TM, Craigo SD, Latchaw LA, Jacir NN, Harris BH, D’Alton ME: The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg 1995;30:979–982.
  9. Konje JC, de Chazal R, MacFadyen U, Taylor DJ: Antenatal diagnosis and management of meconium peritonitis: A case report and review of the literature. Ultrasound Obstet Gynecol 1995;6:66–69.
  10. Yang WT, Ho SS, Metreweli C: Case report: Antenatal sonographic diagnosis of meconium peritonitis and subsequent evolving meconium pseudocyst formation without peritoneal calcification. Clin Radiol 1997;52:477–479.
  11. Mayock DE, Hickok DE, Guthrie RD: Cystic meconium peritonitis associated with hydrops fetalis. Am J Obstet Gynecol 1982;142:704–705.
  12. Baxi LV, Yeh MN, Blanc WA, Schullinger JN: Antepartum diagnosis and management of in utero intestinal volvulus with perforation. N Engl J Med 1983;308:1519–1521.
  13. McGahan JP, Hanson F: Meconium peritonitis with accompanying pseudocyst: Prenatal sonographic diagnosis. Radiology 1983;148:125–126.
  14. Williams J 3rd, Nathan RO, Worthen NJ: Sonographic demonstration of the progression of meconium peritonitis. Obstet Gynecol 1984;64:822–826.
  15. Kamata S, Nose K, Ishikawa S, Usui N, Sawai T, Kitayama, Okuyama H, Imura K, Okada A: Meconium peritonitis in utero. Pediatr Surg Int 2000;16:377–379.
  16. Hsu CH, Jen LW, Huang FY, Chen MR, Kao HA, Ho WY, Yeh ML, Chang PY: Clinical observation of meconium peritonitis. Chung Hua Min Kuo Hsia Erh Ko I Hsueh Hui Tsa Chih 1990;31:214–220.
  17. Chang PY, Huang FY, Yeh ML, Sheu JC, Chen BF, Chen CC: Meconium ileus-like condition in Chinese neonates. J Pediatr Surg 1992;27:1217–1219.
  18. Pan EY, Chen LY, Yang JZ, Lee Z, Wang ZZ: Radiographic diagnosis of meconium peritonitis. A report of 200 cases including six fetal cases. Pediatr Radiol 1983;13:199–205.
  19. Ohmichi M, Kanai H, Kanzaki T, Matumoto K, Neki R, Chiba Y, Kamata S, Murata Y: Meconium peritonitis: Changes in fetal C-reactive protein and CA 125 levels in relation to stage of disease. J Ultrasound Med 1997;16:289–292.
  20. Langer JC, Adzick NS, Filly RA, Golbus MS, deLorimier AA, Harrison MR: Gastrointestinal tract obstruction in the fetus. Arch Surg 1989;124:1183–1186.
  21. Radner M, Vergesslich KA, Weninger M, Eilenberger M, Ponhold W, Pollak A: Meconium peritonitis: A new finding in rubella syndrome. J Clin Ultrasound 1993;21:346–349.
  22. Schild RL, Plath H, Thomas P, Schulte-Wissermann H, Eis-Hubinger AM, Hansmann M: Fetal parvovirus B19 infection and meconium peritonitis. Fetal Diagn Ther 1998;13:15–18.
  23. Tibboel D, Gaillard JL, Molenaar JC: The importance of mesenteric vascular insufficiency in meconium peritonitis. Hum Pathol 1986;17:411–416.
  24. Nancarrow PA, Mattrey RF, Edwards DK, Skram C: Fibroadhesive meconium peritonitis: In utero sonographic diagnosis. J Ultrasound Med 1985;4:213–215.
  25. Donnison AB, Shwachman H, Gross RE: A review of 164 children with meconium ileus seen at the Children’s Hospital Medical Center, Boston. Pediatrics 1966;37:833–850.
  26. Bergmans MG, Merkus JM, Baars AM: Obstetrical and neonatological aspects of a child with atresia of the small bowel. J Perinat Med 1984;12:325–332.


Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50