Shyu M K, Chen C D, Hsieh F J, Yau K I, Lin G J, Lee M L
Department of Obstetrics and Gynaecology, National Taiwan University, Hospital, Taipei.
Prenat Diagn. 1994 Oct;14(10):993-5. doi: 10.1002/pd.1970141016.
We present a case of recurrent meconium peritonitis detected in the second trimester and treated by intrauterine intervention. Antenatal ultrasound findings included fetal ascites and intra-abdominal calcification. Aspiration of fetal ascites under ultrasound guidance and determination of the bilirubin concentration established the diagnosis of meconium peritonitis. Paracentesis was repeated to remove irritating intestinal contents and to decrease pressure on the fetal thorax. Although the exact cause of the meconium peritonitis remains unknown, the recurrence of the condition suggests a genetic basis. A possibility of cystic fibrosis was not considered because the clinical picture did not suggest it. Intrauterine intervention helped to establish the diagnosis of meconium peritonitis and may have contributed to the good outcome.
我们报告一例在孕中期检测到的复发性胎粪性腹膜炎，并通过宫内干预进行治疗。产前超声检查结果包括胎儿腹水和腹腔内钙化。在超声引导下抽取胎儿腹水并测定胆红素浓度，确立了胎粪性腹膜炎的诊断。重复进行腹腔穿刺以清除刺激性肠内容物并减轻对胎儿胸部的压力。尽管胎粪性腹膜炎的确切病因尚不清楚，但该病症的复发提示有遗传基础。由于临床表现未提示，因此未考虑囊性纤维化的可能性。宫内干预有助于确立胎粪性腹膜炎的诊断，可能对良好结局起到了作用。
