[Diagnosis of meconium ileus]

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Multimodality Diagnosis of Mesenteric Ischemia
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D Gaillard1

  • 1Unité de Pathologie du Développement, Génétique et Diagnostic Prénatal, HMB INSERM U 314, IFR 53, CHU, Reims.

Annales De Pathologie
|December 31, 1997
PubMed

Insights

Meconium ileus is a fetal bowel disorder diagnosed during pregnancy. Early, thorough investigation is crucial for identifying causes like cystic fibrosis and guiding genetic counseling for future pregnancies.

Area of Science:

  • Perinatology
  • Fetal Medicine
  • Pediatric Surgery

Context:

  • Meconium ileus is a functional bowel obstruction diagnosed in the second trimester of gestation.
  • Diagnosis relies on identifying bowel hyperechogenicity or through pathological examination.
  • It necessitates comprehensive etiologic investigations based on patient history.

Purpose:

  • To outline the diagnostic approach to meconium ileus.
  • To emphasize the importance of considering cystic fibrosis and performing pancreatic studies.
  • To highlight associated conditions and the need for genetic counseling.

Summary:

  • Meconium ileus diagnosis involves prenatal detection of bowel abnormalities.
  • Cystic fibrosis is a primary consideration, requiring pancreatic studies and genetic mutation analysis.
  • Associated conditions include infection, fetal blood swallowing, chromosomal aberrations, and multiple fetal abnormalities.

Impact:

  • Accurate diagnosis of meconium ileus guides appropriate management and genetic counseling.
  • Early identification of underlying causes like cystic fibrosis improves patient outcomes.
  • Systematic investigation ensures comprehensive care and informed follow-up for subsequent pregnancies.

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