Patton W L, Lutz A M, Willmann J K, Callen P, Barkovich A J, Gooding C A
Department of Radiology, University of California at San Francisco, San Francisco, California, USA.
Pediatr Radiol. 1998 Sep;28(9):714-6. doi: 10.1007/s002470050449.
Meconium peritonitis is a chemical peritonitis which occurs following bowel perforation during fetal life. It is generally looked upon as benign, resulting in no long-term sequelae. We present a case of a newborn infant with meconium peritonitis who developed infarcts in several organs. At autopsy the infarcts proved to be caused by emboli as a result of intravascular dissemination of meconium. To our knowledge, this is the first reported case of systemic spread of meconium peritonitis in the literature and suggests that meconium peritonitis may have more serious implications than generally thought.
胎粪性腹膜炎是一种在胎儿期肠道穿孔后发生的化学性腹膜炎。它通常被视为良性疾病，不会导致长期后遗症。我们报告一例患有胎粪性腹膜炎的新生儿，该患儿多个器官发生了梗死。尸检显示，梗死是由胎粪血管内播散形成的栓子所致。据我们所知，这是文献中首次报道的胎粪性腹膜炎全身播散的病例，提示胎粪性腹膜炎可能比一般认为的具有更严重的影响。
