Meconium peritonitis

Meconium peritonitis
Meconium peritonitis
Classification and external resources
ICD-10 P78.0
ICD-9 777.6

Meconium peritonitis refers to rupture of the bowel prior to birth, resulting in fetal stool (meconium) escaping into the surrounding space (peritoneum) leading to inflammation (peritonitis). Despite the bowel rupture, many infants born after meconium peritonitis in utero have normal bowels and have no further issues.

Infants with cystic fibrosis are at increased risk for meconium peritonitis.

Diagnosis

Twenty percent of infants born with meconium peritonitis will have vomiting and dilated bowels on x-rays which necessitates surgery.

Meconium peritonitis is sometimes diagnosed on prenatal ultrasound[1] where it appears as calcifications[2] within the peritoneum.

History

Meconium peritonitis was first described in 1838 by Carl von Rokitansky.

References

  1. ^ Tseng JJ, Chou MM, Ho ES (June 2003). "Meconium peritonitis in utero: prenatal sonographic findings and clinical implications". J Chin Med Assoc 66 (6): 355–9. PMID 12889504. 
  2. ^ Dirkes K, Crombleholme TM, Craigo SD, et al. (July 1995). "The natural history of meconium peritonitis diagnosed in utero". J. Pediatr. Surg. 30 (7): 979–82. doi:10.1016/0022-3468(95)90325-9. PMID 7472957. http://linkinghub.elsevier.com/retrieve/pii/0022-3468(95)90325-9. 
v · d · eCertain conditions originating in the perinatal period / fetal disease (P, 760–779)
Maternal factors and
complications of pregnancy,
labour and delivery
placenta: Placenta praevia · Placental insufficiency · Twin-to-twin transfusion syndrome
umbilical cord: Umbilical cord prolapse · Nuchal cord · Single umbilical artery
Length of gestation
and fetal growth
Small for gestational age/Large for gestational age · Preterm birth/Postmature birth · Intrauterine growth restriction
Birth trauma
By system
Ileus · Necrotizing enterocolitis · Meconium peritonitis
Integument and
temperature regulation
Erythema toxicum · Sclerema neonatorum
Infectious
Other

M: OBS

phys/devp/memb

mthr/fetu/infc, epon

proc, drug(2A/G2C)

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