Image of the Month: Meconium Peritonitis with Pseudocyst-A Spot Diagnosis in Newborns.

Pub Date : 2020-01-01 Epub Date: 2020-01-28 DOI:10.1055/s-0039-3399556
Rudolph Ascherl, Duarte Vaz Pimentel, Mathias Knüpfer, Ina Sorge, Martin Lacher, Peter Zimmermann
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引用次数: 1

Abstract

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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本月图像:新生儿胎便性腹膜炎伴假性囊肿- a点诊断。
我们报告一例男性早产新生儿在妊娠36 + 0周分娩前2周的产前超声检查中发现腹部大肿瘤。产后腹部平片示一肿块,边缘钙化明显(“蛋壳”),提示胎便假性囊肿。在出生的第4天,男孩接受了剖腹探查术,切除囊肿和空肠端后吻合术。术后过程平淡无奇。胎便假性囊肿与产前肠穿孔引起的无菌性腹膜炎相关。这是一个容易识别的点诊断,任何儿科医生和儿科外科医生都应该意识到。
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