Meconium per vagina: a rare presentation of meconium peritonitis

Autor: Neil C. Featherstone, Milind Kulkarni, Azad Mathur, Khaled Fathi, Duncan MacIver
Rok vydání: 2008
Předmět:
Meconium
congenital
hereditary
and neonatal diseases and abnormalities

medicine.medical_specialty
Perforation (oil well)
Peritonitis
Risk Assessment
Ultrasonography
Prenatal

fluids and secretions
Ileum
Pregnancy
Intensive Care Units
Neonatal

Humans
Medicine
Abnormalities
Multiple

Cyst
Digestive System Surgical Procedures
reproductive and urinary physiology
Gynecology
Laparotomy
business.industry
Meconium peritonitis
Anastomosis
Surgical

Uterus
Infant
Newborn

Ileal Atresia
General Medicine
medicine.disease
female genital diseases and pregnancy complications
Surgery
Rectal atresia
Treatment Outcome
medicine.anatomical_structure
Intestinal Perforation
Rectovaginal fistula
embryonic structures
Pediatrics
Perinatology and Child Health

Vagina
Female
business
Digestive System Abnormalities
Follow-Up Studies
Zdroj: Journal of Pediatric Surgery. 43:e5-e7
ISSN: 0022-3468
Popis: Meconium peritonitis results from antenatal perforation of the gastrointestinal tract; it presents as gastrointestinal obstruction, intraabdominal masses, or calcification. The presentation with passage of meconium per vagina secondary to meconium peritonitis is rare. We describe the radiologic and surgical findings in a neonate who had passage of meconium per vagina secondary to ileal atresia and meconium peritonitis. Initial clinical and radiologic examination suggested rectal atresia with an associated rectovaginal fistula, although subsequently, this was not the case. Possible explanations for the passage of meconium per vagina include decompression of a meconium cyst via the left fallopian tube or direct perforation of a collection into the vagina from the peritoneal cavity.
Databáze: OpenAIRE