Mishra Purbasha, Sahoo Tanushree, Mohanty Pankaj K, Som Tapas K, Tripathy Bikasha Bihari, Singh Sweta
Department of Neonatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of Obstetrics and Gynaecology, AIIMS, Bhubaneswar, Odisha, India.
J Indian Assoc Pediatr Surg. 2022 May-Jun;27(3):362-364. doi: 10.4103/jiaps.JIAPS_51_21. Epub 2022 May 12.
Meconium peritonitis (MP) presenting as hydrops is a rare entity. A 34-week hydropic infant was born to mother diagnosed with a case of nonimmune hydrops. Postnatally, the neonate was diagnosed as a case of MP based on clinical examination and investigations. The neonate underwent exploratory laparotomy which revealed diffuse MP with ileal perforation. She underwent resection of ileal perforation with ileocolic anastomosis. The index case highlights the importance of thorough clinical examination and abdominal X-ray in the diagnosis of MP.
以水肿表现的胎粪性腹膜炎(MP)是一种罕见的病症。一名34周大的水肿婴儿出生于被诊断为非免疫性水肿的母亲。出生后,该新生儿经临床检查和调查被诊断为MP病例。新生儿接受了剖腹探查术,结果显示为弥漫性MP伴回肠穿孔。她接受了回肠穿孔切除术及回结肠吻合术。该病例强调了全面临床检查和腹部X线检查在MP诊断中的重要性。