Peritonitis meconial: Experiencia clínica
| Autor: | Fernando Soto U, Soledad Lopetegui C, Francisco Saitua D. |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Ileus business.industry medicine.medical_treatment Perforation (oil well) Peritonitis Prenatal diagnosis íleo meconial medicine.disease peritonitis meconial Surgery Digestive system surgery Meconium Pediatrics Perinatology and Child Health medicine obstrucción intestinal Cyst business meconio Neonatal stage |
| Zdroj: | Revista chilena de pediatría v.82 n.3 2011 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0370-4106 |
| Popis: | Meconial peritonitis. A clinical experience Meconial Peritonitis (MP) is a chemical, sterile, infl ammatory reaction of the visceral and parietal peritoneum, intestinal loops and mesenterium, produced by a prenatal intestinal perforation. MP can be classifi ed into meconial ascitis, simple, fi broadhesive, and giant cyst. The natural evolution may follow various courses. Objective: Describe the spectrum of clinical presentation and management in a series of patients with MP. Patients and Methods: Retrospective study of patients with MP manageg between 2000 and 2009. Results: 5 patients were found: 1 giant cyst, 2 simple MP and 2 fi broadhesive. 4 required surgery. All required prokinetics and were fed early. Evolution was satisfactory in 4 (80%), one died in the neonatal stage. Discussion: Sonography and magnetic resonance (rarely) may provide the prenatal diagnosis. At birth, they must be closely observed to decide surgical management according to evolution. Spontaneous sealing of the perforation is seen in 1 of 5 (20%) in our series, reestablishing intestinal continuity without requiring surgery. Early feeding and prokinetics are basic elements in management. Conclusion: MP is a serious neonatal pathology, its morbidity and mortality may be decreased through adequate management in the neonatal period. Clinical observation should determine treatment, which ranges from spontaneous resolution to abdominal surgical repair with intestinal resection, ostomy or primary anastomosis. (Key words: Meconial peritonitis, meconial ileus, Meconium, intestinal obstruction). Rev Chil Pediatr 2011; 82 (3): 218-224 |
| Databáze: | OpenAIRE |
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