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[Meconium peritonitis. A fetal catastrophe]
1Rigshospitalet, Bømekirurgisk afdeling GGK, København.
Insights
Meconium peritonitis, a serious condition in newborns, was treated surgically in 21 cases. This study highlights surgical outcomes and associated anomalies in neonates with meconium peritonitis.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastrointestinal Surgery
Background:
- Meconium peritonitis is a significant cause of neonatal morbidity and mortality.
- Intra-abdominal anomalies can be associated with meconium peritonitis, necessitating early diagnosis.
- Surgical intervention is the primary treatment for meconium peritonitis.
Purpose of the Study:
- To review surgical outcomes for meconium peritonitis.
- To identify associated intra-abdominal anomalies.
- To analyze the presentation and mortality of meconium peritonitis.
Main Methods:
- Retrospective review of 21 cases of meconium peritonitis treated surgically between 1972 and 1987.
- Analysis of antenatal ultrasonography findings for suspected intra-abdominal anomalies.
- Documentation of clinical presentation, surgical findings, and patient outcomes.
Main Results:
- A total of 21 cases of meconium peritonitis treated surgically were analyzed.
- The overall mortality rate was 19%.
- Common associated anomalies included intestinal atresia (13 cases), intrauterine volvulus (14 cases), and pseudocyst (13 cases). Antenatal ultrasonography suspected intra-abdominal anomalies in 4 cases.
Conclusions:
- Surgical management of meconium peritonitis in neonates is associated with significant mortality.
- Early diagnosis and prompt surgical intervention are crucial for improving outcomes.
- Associated gastrointestinal anomalies frequently complicate the management of meconium peritonitis.
Abstract:
A material of 21 cases of meconium peritonitis treated by operation from 1972-1987 is presented. In four cases, intraabdominal anomaly was suspected on the basis of antenatal ultrasonography. The mortality was 19%. 57% developed symptoms during the first 24 hours, one at the age of one month and this case history is presented. Thirteen had intestinal atresia, 14 intrauterine volvulus, 7 open perforation, 13 pseudocyst, 1 gastroscisis. 2 had cystic fibrosis. Two patients are still attending the outpatient clinic on account of minor sequelae. The remainder have been discharged.