Image of the Month: Meconium Peritonitis with Pseudocyst-A Spot Diagnosis in Newborns
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 th...
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| Main Authors: | , , , , , |
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| Format: | Book |
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Georg Thieme Verlag KG,
2020-01-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | 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. |
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| Item Description: | 2194-7619 2194-7627 10.1055/s-0039-3399556 |