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Meconium Peritonitis, Pseudocyst
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Chemical peritonitis due to intrauterine bowel perforation

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Ionescu S et al: Postnatal Treatment in Antenatally Diagnosed Meconium Peritonitis. Chirurgia (Bucur). 110(6):538-44, 2015
                                  2. Ochiai D et al: A Rare Case of Meconium Periorchitis Diagnosed in Utero. Case Rep Obstet Gynecol. 2015:606134, 2015
                                  3. Uchida K et al: Meconium peritonitis: Prenatal diagnosis of a rare entity and postnatal management. Intractable Rare Dis Res. 4(2):93-7, 2015
                                  4. Alanbuki AH et al: Meconium periorchitis: A case report and literature review. Can Urol Assoc J. 7(7-8):E495-8, 2013
                                  5. Jayakumar S et al: Asymptomatic meconium peritonitis presenting as inguinal hernia in a female neonate. J Neonatal Surg. 2(4):43, 2013
                                  6. Zerhouni S et al: Can we select fetuses with intra-abdominal calcification for delivery in neonatal surgical centres? J Pediatr Surg. 48(5):946-50, 2013
                                  7. Minato M et al: Meconium pseudocyst with particular pathologic findings: a case report and review of the literature. J Pediatr Surg. 47(4):e9-12, 2012
                                  8. Murkey BR et al: Pre-natal Ultrasonographic Diagnosis of Cystic Meconium Peritonitis with Intestinal Atresia and Its Post-natal Management. J Obstet Gynaecol India. 62(Suppl 1):40-2, 2012
                                  9. Izumi Y et al: Prenatal treatment of meconium peritonitis with urinary trypsine inhibitor. Ultrasound Obstet Gynecol. Epub ahead of print, 2010
                                  10. Miyake H et al: Primary anastomosis for meconium peritonitis: first choice of treatment. J Pediatr Surg. 46(12):2327-31, 2011
                                  11. Lee YC et al: Meconium pseudocyst: a classical and successfully treated case. J Formos Med Assoc. 108(3):247-52, 2009
                                  12. Regev RH et al: Meconium periorchitis: intrauterine diagnosis and neonatal outcome: case reports and review of the literature. J Perinatol. 29(8):585-7, 2009
                                  13. Saleh N et al: Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med. 37(5):535-8, 2009
                                  14. Tsai MH et al: Clinical manifestations in infants with symptomatic meconium peritonitis. Pediatr Neonatol. 50(2):59-64, 2009
                                  15. Wang CN et al: Meconium peritonitis in utero---the value of prenatal diagnosis in determining neonatal outcome. Taiwan J Obstet Gynecol. 47(4):391-6, 2008
                                  16. Yanfang Z et al: Fetal meconium peritonitis complicated with bacterial infection. J Clin Ultrasound. 36(5):312-4, 2008
                                  17. Nam SH et al: Experience with meconium peritonitis. J Pediatr Surg. 42(11):1822-5, 2007
                                  18. Simonovsk√Ĺ V et al: Meconium pseudocyst secondary to ileal atresia complicated by volvulus: antenatal MR demonstration. Pediatr Radiol. 37(3):305-9, 2007
                                  19. Zangheri G et al: Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 27(10):960-3, 2007
                                  20. Chan KL et al: Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn. 25(8):676-82, 2005
                                  21. Eckoldt F et al: Meconium peritonitis and pseudo-cyst formation: prenatal diagnosis and post-natal course. Prenat Diagn. 23(11):904-8, 2003
                                  22. Shyu MK et al: Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis. Fetal Diagn Ther. 18(4):255-61, 2003
                                  23. Tseng JJ et al: Meconium peritonitis in utero: prenatal sonographic findings and clinical implications. J Chin Med Assoc. 66(6):355-9, 2003
                                  24. Su WH et al: Fetal meconium peritonitis in the infant of a woman with fulminant hepatitis B. A case report. J Reprod Med. 47(11):952-4, 2002
                                  25. Reynolds E et al: Meconium peritonitis. J Perinatol. 20(3):193-5, 2000
                                  26. Varkonyi I et al: Meconium periorchitis: case report and literature review. Eur J Pediatr Surg. 10(6):404-7, 2000
                                  27. Dirkes K et al: The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 30(7):979-82, 1995
                                  28. Estroff JA et al: Fetal meconium peritonitis without sequelae. Pediatr Radiol. 22(4):277-8, 1992
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Pathology

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Chemical peritonitis due to intrauterine bowel perforation

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Ionescu S et al: Postnatal Treatment in Antenatally Diagnosed Meconium Peritonitis. Chirurgia (Bucur). 110(6):538-44, 2015
                                                                  2. Ochiai D et al: A Rare Case of Meconium Periorchitis Diagnosed in Utero. Case Rep Obstet Gynecol. 2015:606134, 2015
                                                                  3. Uchida K et al: Meconium peritonitis: Prenatal diagnosis of a rare entity and postnatal management. Intractable Rare Dis Res. 4(2):93-7, 2015
                                                                  4. Alanbuki AH et al: Meconium periorchitis: A case report and literature review. Can Urol Assoc J. 7(7-8):E495-8, 2013
                                                                  5. Jayakumar S et al: Asymptomatic meconium peritonitis presenting as inguinal hernia in a female neonate. J Neonatal Surg. 2(4):43, 2013
                                                                  6. Zerhouni S et al: Can we select fetuses with intra-abdominal calcification for delivery in neonatal surgical centres? J Pediatr Surg. 48(5):946-50, 2013
                                                                  7. Minato M et al: Meconium pseudocyst with particular pathologic findings: a case report and review of the literature. J Pediatr Surg. 47(4):e9-12, 2012
                                                                  8. Murkey BR et al: Pre-natal Ultrasonographic Diagnosis of Cystic Meconium Peritonitis with Intestinal Atresia and Its Post-natal Management. J Obstet Gynaecol India. 62(Suppl 1):40-2, 2012
                                                                  9. Izumi Y et al: Prenatal treatment of meconium peritonitis with urinary trypsine inhibitor. Ultrasound Obstet Gynecol. Epub ahead of print, 2010
                                                                  10. Miyake H et al: Primary anastomosis for meconium peritonitis: first choice of treatment. J Pediatr Surg. 46(12):2327-31, 2011
                                                                  11. Lee YC et al: Meconium pseudocyst: a classical and successfully treated case. J Formos Med Assoc. 108(3):247-52, 2009
                                                                  12. Regev RH et al: Meconium periorchitis: intrauterine diagnosis and neonatal outcome: case reports and review of the literature. J Perinatol. 29(8):585-7, 2009
                                                                  13. Saleh N et al: Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med. 37(5):535-8, 2009
                                                                  14. Tsai MH et al: Clinical manifestations in infants with symptomatic meconium peritonitis. Pediatr Neonatol. 50(2):59-64, 2009
                                                                  15. Wang CN et al: Meconium peritonitis in utero---the value of prenatal diagnosis in determining neonatal outcome. Taiwan J Obstet Gynecol. 47(4):391-6, 2008
                                                                  16. Yanfang Z et al: Fetal meconium peritonitis complicated with bacterial infection. J Clin Ultrasound. 36(5):312-4, 2008
                                                                  17. Nam SH et al: Experience with meconium peritonitis. J Pediatr Surg. 42(11):1822-5, 2007
                                                                  18. Simonovsk√Ĺ V et al: Meconium pseudocyst secondary to ileal atresia complicated by volvulus: antenatal MR demonstration. Pediatr Radiol. 37(3):305-9, 2007
                                                                  19. Zangheri G et al: Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 27(10):960-3, 2007
                                                                  20. Chan KL et al: Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn. 25(8):676-82, 2005
                                                                  21. Eckoldt F et al: Meconium peritonitis and pseudo-cyst formation: prenatal diagnosis and post-natal course. Prenat Diagn. 23(11):904-8, 2003
                                                                  22. Shyu MK et al: Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis. Fetal Diagn Ther. 18(4):255-61, 2003
                                                                  23. Tseng JJ et al: Meconium peritonitis in utero: prenatal sonographic findings and clinical implications. J Chin Med Assoc. 66(6):355-9, 2003
                                                                  24. Su WH et al: Fetal meconium peritonitis in the infant of a woman with fulminant hepatitis B. A case report. J Reprod Med. 47(11):952-4, 2002
                                                                  25. Reynolds E et al: Meconium peritonitis. J Perinatol. 20(3):193-5, 2000
                                                                  26. Varkonyi I et al: Meconium periorchitis: case report and literature review. Eur J Pediatr Surg. 10(6):404-7, 2000
                                                                  27. Dirkes K et al: The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 30(7):979-82, 1995
                                                                  28. Estroff JA et al: Fetal meconium peritonitis without sequelae. Pediatr Radiol. 22(4):277-8, 1992