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Omental calcification, necrotizing enterocolitis, and undescended testes after fetal abdomino‐amniotic shunting performed for the management of meconium peritonitis: A case report
Author(s) -
Lim YunJung,
Jo HyunJin,
Chung Mi Lim
Publication year - 2018
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22589
Subject(s) - medicine , meconium peritonitis , necrotizing enterocolitis , abdomen , meconium , ascites , calcification , amniotic fluid , radiology , fetus , surgery , pregnancy , genetics , biology
Prenatal ultrasonography (US) in a 39 year‐old woman revealed massive fetal ascites. A fetal abdomino‐amniotic shunting procedure was performed. Subsequently, plain radiographs demonstrated diffuse gaseous distention of the bowel and multiple punctate calcifications in the left upper abdomen. Postnatal US examination showed multiple echogenic foci in the liver and the left upper abdomen, bowel wall thickening in the right‐sided abdomen, and undescended testes. There was no intra‐abdominal free air or loculated fluid collections. Medical management was instituted secondary to the clinical suspicion of omental calcification, necrotizing enterocolitis, and undescended testes. Follow‐up US examination showed resolution of portal vein gas and bowel wall thickening. The neonate recovered fully.