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Meckel's diverticulum induced intrauterine intussusception associated with ileal atresia complicated by meconium

Chien-Heng Lin1, Shu-Fen Wu, Wei-Ching Lin

  • 1Department of Pediatrics, Jen-Ai Hospital, Tali, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|June 26, 2007
PubMed

Insights

A rare case of intrauterine intussusception caused by Meckel's diverticulum led to ileal atresia and meconium peritonitis. Surgical intervention successfully resolved the bowel obstruction and perforation in this newborn.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gastroenterology

Background:

  • Ileal atresia is a congenital condition causing bowel obstruction.
  • Meckel's diverticulum can act as a leading point for intussusception.
  • Meconium peritonitis indicates bowel perforation in utero.

Observation:

  • Fetal ultrasonography at 30 weeks revealed ascites, dilated bowel loops, and intra-abdominal calcification.
  • A neonate presented with signs suggestive of intrauterine bowel compromise.
  • Intrauterine intussusception with a leading Meckel's diverticulum was identified as the cause.

Findings:

  • The patient had ileal atresia secondary to intrauterine intussusception.
  • Meckel's diverticulum was confirmed as the leading point causing intussusception.
  • Meconium peritonitis was a complication of the ileal atresia and perforation.

Implications:

  • This case highlights a rare etiology for ileal atresia and meconium peritonitis.
  • Early diagnosis via fetal ultrasonography is crucial for timely intervention.
  • Surgical management, including resection and anastomosis, can lead to favorable outcomes.

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