Siegel M J, Shackelford G D, McAlister W H
Radiology. 1979 Jul;132(1):79-82. doi: 10.1148/132.1.79.
Three cases of premature infants with obstruction of the ileum and proximal colon in the absence of cystic fibrosis are presented. Meconium inspissation complicated low-grade bowel obstruction in 2 infants. In the third, the bowel was anatomically normal, with the tenacious meconium the apparent primary cause of obstruction. Distinguishing features of this unusual type of blockage and other meconium syndromes are also discussed. This condition may simulate necrotizing enterocolitis, requiring surgery for differentiation. It should be considered in the differential diagnosis of low small bowel or colonic obstruction in the premature infant who is several days of age.
本文报告了3例无囊性纤维化的回肠和近端结肠梗阻的早产儿病例。2例婴儿中，黏稠胎粪并发轻度肠梗阻。第3例中，肠道解剖结构正常，黏稠胎粪显然是梗阻的主要原因。还讨论了这种不寻常类型的梗阻与其他胎粪综合征的鉴别特征。这种情况可能类似坏死性小肠结肠炎，需要手术来鉴别。对于出生几天的早产儿出现低位小肠或结肠梗阻时，应考虑此病进行鉴别诊断。
