Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns

Autor: Mathias Knüpfer, Rudolph Ascherl, Ina Sorge, Peter Zimmermann, Duarte Vaz Pimentel, Martin Lacher
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: European Journal of Pediatric Surgery Reports
European Journal of Pediatric Surgery Reports, Vol 08, Iss 01, Pp e1-e2 (2020)
ISSN: 2194-7627
2194-7619
Popis: We report on a male preterm newborn with a large abdominal tumor found on prenatal ultrasound 2 weeks prior to delivery at 36 + 0 weeks of gestation. A postnatal abdominal plain film showed a mass with well-defined rim calcifications (“eggshell”), suggestive of a meconium pseudocyst. On the 4th day of life, the boy underwent exploratory laparotomy with resection of the cyst and end-to-back jejunojejunostomy. The postoperative course was uneventful. A meconium pseudocyst is the correlate of a sterile peritonitis caused by antenatal bowel perforation. It is an easily recognizable spot diagnosis any pediatrician and pediatric surgeon should be aware of.
Databáze: OpenAIRE