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Meconium plug syndrome associated with neonatal intussusception
Gastrointestinal Radiology
|January 15, 1981
Summary
Meconium plug syndrome in neonates can cause ileocolic intussusception. Prompt hydrostatic reduction successfully treated this obstruction, excluding cystic fibrosis.
Area of Science:
- Neonatal surgery
- Pediatric gastroenterology
- Medical imaging
Background:
- Meconium plug syndrome (MPS) is a functional immaturity of the colon causing obstruction.
- Intussusception is a common cause of intestinal obstruction in infants.
Observation:
- Two neonates presented with symptoms suggestive of meconium plug syndrome.
- Ileocolic intussusception was identified in both neonates.
- Inspissated meconium plugs were found in the distal ileum.
Findings:
- Hydrostatic reduction effectively resolved the intussusception and relieved the obstruction.
- Subsequent sweat tests and clinical follow-up ruled out cystic fibrosis.
Implications:
- This case series highlights intussusception as a potential complication of meconium plug syndrome.
- Hydrostatic reduction is a viable treatment for meconium-induced intussusception in neonates.
- Differentiating MPS from other causes of neonatal obstruction is crucial for appropriate management.