Tibboel D, Gaillard J L, Molenaar J C
Z Kinderchir. 1981 Sep;34(1):9-16. doi: 10.1055/s-2008-1063291.
An evaluation of patients with meconium peritonitis shows that, apart from the fibro-adhesive type, the (Pseudo) cystic and the generalized type, a fourth type can be distinguished. In a case of this fourth type, the "microscopic" type of meconium peritonitis, no signs of a peritonitis are found on macroscopic examination of the abdominal cavity. Conversely, microscopic examination will reveal meconium components focally outside the bowel. The clinical and histological data of 14 patients are discussed. It is pointed out that a significantly large number of patients with meconium peritonitis also have atresia of the small bowel. Based on the patient evaluation, a hypothesis is brought forward concerning the pathogenesis of these atresias.
对胎粪性腹膜炎患者的评估表明，除了纤维粘连型、（假性）囊肿型和弥漫型外，还可区分出第四种类型。在这种第四种类型即“微观”型胎粪性腹膜炎的病例中，对腹腔进行宏观检查时未发现腹膜炎体征。相反，微观检查会发现肠外局部存在胎粪成分。文中讨论了14例患者的临床和组织学数据。指出大量胎粪性腹膜炎患者同时伴有小肠闭锁。基于对患者的评估，提出了关于这些闭锁发病机制的假说。
