Open AccessIntrauterine Meconium Peritonitis: An Unusual Case of Foetal Ascites
Author(s) -
Rajan Paudel,
Narendra Bhatta,
Rajesh P. Shah,
Lokraj Shah,
Ankur Poudel
Publication year - 2021
Publication title -
journal of nepal paediatric society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.13
H-Index - 8
eISSN - 1990-7982
pISSN - 1990-7974
DOI - 10.3126/jnps.v41i2.35294
Subject(s) - medicine , meconium peritonitis , meconium , peritonitis , meconium ileus , perforation , exploratory laparotomy , ascites , ileostomy , abdominal distension , surgery , fetus , gastroenterology , obstetrics , pregnancy , genetics , materials science , metallurgy , punching , biology
Meconium peritonitis is defined as aseptic chemical inflammation caused by an intrauterine bowel perforation. Its incidence is 1 in 35,000 live births. We present a case of meconium peritonitis presented at second day of postnatal life with isolated gross fetal ascites. Exploratory laprotomy was performed, suggestive of gross ascites with fecal contamination and perforation at terminal ileum for which ileal resection with double barrel ileostomy had been done. Postoperatively patient condition had improved and discharged. We would like to highlight this rare presentation of meconium peritonitis following intrauterine bowel perforation in fetus.