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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Meconium peritonitis (MP): Chemical peritonitis resulting from in utero bowel perforation that leaks sterile meconium & digestive enzymes into peritoneal cavity
- Meconium cyst: Meconium + fluid contained by fibrous membranes in setting of MP
- Meconium pseudocyst: Meconium + fluid contained by membranes partly derived from muscular layer of intestine
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
Fluoroscopic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lu Y et al: Fetal magnetic resonance imaging contributes to the diagnosis and treatment of meconium peritonitis. BMC Med Imaging. 20(1):55, 2020
- Chen CW et al: Value of prenatal diagnosis of meconium peritoneum: comparison of outcomes of prenatal and postnatal diagnosis. Medicine (Baltimore). 98(39):e17079, 2019
- Caro-DomÃnguez P et al: Meconium peritonitis: the role of postnatal radiographic and sonographic findings in predicting the need for surgery. Pediatr Radiol. 48(12):1755-62, 2018
- Sciarrone A et al: Fetal midgut volvulus: report of eight cases. J Matern Fetal Neonatal Med. 29(8):1322-7, 2016
- Lee GS et al: Calcified meconium pseudocyst: X-ray diagnosis of meconium peritonitis at birth. BMJ Case Rep, 2015
- Uchida K et al: Meconium peritonitis: prenatal diagnosis of a rare entity and postnatal management. Intractable Rare Dis Res. 4(2):93-7, 2015
- Veyrac C et al: US assessment of neonatal bowel (necrotizing enterocolitis excluded). Pediatr Radiol. 42 Suppl 1:S107-14, 2012
- Izumi Y et al: Prenatal treatment of meconium peritonitis with urinary trypsin inhibitor. Ultrasound Obstet Gynecol. 37(3):366-8, 2011
- Jeanty C et al: Prenatal diagnosis of meconium periorchitis and review of the literature. J Ultrasound Med. 28(12):1729-34, 2009
- 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
- Saleh N et al: Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med. 37(5):535-8, 2009
- Tsai MH et al: Clinical manifestations in infants with symptomatic meconium peritonitis. Pediatr Neonatol. 50(2):59-64, 2009
- Featherstone NC et al: Meconium per vagina: a rare presentation of meconium peritonitis. J Pediatr Surg. 43(1):e5-7, 2008
- Okawa T et al: Repeated paracentesis in a fetus with meconium peritonitis with massive ascites: a case report. Fetal Diagn Ther. 24(2):99-102, 2008
- Pelizzo G et al: Prenatal detection of the cystic form of meconium peritonitis: no issues for delayed postnatal surgery. Pediatr Surg Int. 24(9):1061-5, 2008
- Nam SH et al: Experience with meconium peritonitis. J Pediatr Surg. 42(11):1822-5, 2007
- Zangheri G et al: Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 27(10):960-3, 2007
- Chan KL et al: Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn. 25(8):676-82, 2005
- Eckoldt F et al: Meconium peritonitis and pseudo-cyst formation: prenatal diagnosis and post-natal course. Prenat Diagn. 23(11):904-8, 2003
- Ekinci S et al: Inguinal hernia as a rare manifestation of meconium peritonitis: report of a case. Surg Today. 32(8):758-60, 2002
- Park WH et al: Congenital gastric teratoma with gastric perforation mimicking meconium peritonitis. J Pediatr Surg. 37(5):E11, 2002
- 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
- Han SJ et al: Biliary atresia associated with meconium peritonitis caused by perforation of small bowel atresia. J Pediatr Surg. 36(9):1390-3, 2001
- Hu MX et al: An unusual case of neonatal peritoneal calcifications associated with hydrometrocolpos. Pediatr Radiol. 31(10):742-4, 2001
- Agarwal N et al: Idiopathic origin of meconium peritonitis. Indian J Pediatr. 67(11):845-6, 2000
- Kamata S et al: Meconium peritonitis in utero. Pediatr Surg Int. 16(5-6):377-9, 2000
- Khadaroo RG et al: Fetus-in-fetu presenting as cystic meconium peritonitis: diagnosis, pathology, and surgical management. J Pediatr Surg. 35(5):721-3, 2000
- Reynolds E et al: Meconium peritonitis. J Perinatol. 20(3):193-5, 2000
- Shimotake T et al: Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Int. 16(1-2):43-4, 2000
- Varkonyi I et al: Meconium periorchitis: case report and literature review. Eur J Pediatr Surg. 10(6):404-7, 2000
- Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
- Kolker SE et al: Disseminated intravascular meconium in a newborn with meconium peritonitis. Hum Pathol. 30(5):592-4, 1999
- McDuffie RS Jr et al: Fetal meconium peritonitis after maternal hepatitis A. Am J Obstet Gynecol. 180(4):1031-2, 1999
- Niramis R et al: Meconium peritonitis. J Med Assoc Thai. 82(11):1063-70, 1999
- Ramesh JC et al: Meconium peritonitis: prenatal diagnosis and postnatal management--a case report. Med J Malaysia. 54(4):528-30, 1999
- Salman AB et al: Abdominal, scrotal, and thoracic calcifications owing to healed meconium peritonitis. J Pediatr Surg. 34(9):1415-6, 1999
- Tatekawa Y et al: The mechanism of focal intestinal perforations in neonates with low birth weight. Pediatr Surg Int. 15(8):549-52, 1999
- Patton WL et al: Systemic spread of meconium peritonitis. Pediatr Radiol. 28(9):714-6, 1998
- Tseng CW et al: Color Doppler energy in prenatal diagnosis of meconium peritonitis: a case report. Changgeng Yi Xue Za Zhi. 20(1):58-61, 1997
- Ali SW et al: Meconium peritonitis--a leading cause of neonatal peritonitis in Kashmir. Indian J Pediatr. 63(2):229-32, 1996
- Dirkes K et al: The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 30(7):979-82, 1995
- DuBois JJ et al: Inflammatory pseudocyst associated with trisomy 21 and Hirschsprung's disease. Mil Med. 160(9):477-9, 1995
- Konje JC et al: Antenatal diagnosis and management of meconium peritonitis: a case report and review of the literature. Ultrasound Obstet Gynecol. 6(1):66-9, 1995
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Meconium peritonitis (MP): Chemical peritonitis resulting from in utero bowel perforation that leaks sterile meconium & digestive enzymes into peritoneal cavity
- Meconium cyst: Meconium + fluid contained by fibrous membranes in setting of MP
- Meconium pseudocyst: Meconium + fluid contained by membranes partly derived from muscular layer of intestine
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
Fluoroscopic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Lu Y et al: Fetal magnetic resonance imaging contributes to the diagnosis and treatment of meconium peritonitis. BMC Med Imaging. 20(1):55, 2020
- Chen CW et al: Value of prenatal diagnosis of meconium peritoneum: comparison of outcomes of prenatal and postnatal diagnosis. Medicine (Baltimore). 98(39):e17079, 2019
- Caro-DomÃnguez P et al: Meconium peritonitis: the role of postnatal radiographic and sonographic findings in predicting the need for surgery. Pediatr Radiol. 48(12):1755-62, 2018
- Sciarrone A et al: Fetal midgut volvulus: report of eight cases. J Matern Fetal Neonatal Med. 29(8):1322-7, 2016
- Lee GS et al: Calcified meconium pseudocyst: X-ray diagnosis of meconium peritonitis at birth. BMJ Case Rep, 2015
- Uchida K et al: Meconium peritonitis: prenatal diagnosis of a rare entity and postnatal management. Intractable Rare Dis Res. 4(2):93-7, 2015
- Veyrac C et al: US assessment of neonatal bowel (necrotizing enterocolitis excluded). Pediatr Radiol. 42 Suppl 1:S107-14, 2012
- Izumi Y et al: Prenatal treatment of meconium peritonitis with urinary trypsin inhibitor. Ultrasound Obstet Gynecol. 37(3):366-8, 2011
- Jeanty C et al: Prenatal diagnosis of meconium periorchitis and review of the literature. J Ultrasound Med. 28(12):1729-34, 2009
- 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
- Saleh N et al: Prenatal diagnosis and postnatal management of meconium peritonitis. J Perinat Med. 37(5):535-8, 2009
- Tsai MH et al: Clinical manifestations in infants with symptomatic meconium peritonitis. Pediatr Neonatol. 50(2):59-64, 2009
- Featherstone NC et al: Meconium per vagina: a rare presentation of meconium peritonitis. J Pediatr Surg. 43(1):e5-7, 2008
- Okawa T et al: Repeated paracentesis in a fetus with meconium peritonitis with massive ascites: a case report. Fetal Diagn Ther. 24(2):99-102, 2008
- Pelizzo G et al: Prenatal detection of the cystic form of meconium peritonitis: no issues for delayed postnatal surgery. Pediatr Surg Int. 24(9):1061-5, 2008
- Nam SH et al: Experience with meconium peritonitis. J Pediatr Surg. 42(11):1822-5, 2007
- Zangheri G et al: Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 27(10):960-3, 2007
- Chan KL et al: Meconium peritonitis: prenatal diagnosis, postnatal management and outcome. Prenat Diagn. 25(8):676-82, 2005
- Eckoldt F et al: Meconium peritonitis and pseudo-cyst formation: prenatal diagnosis and post-natal course. Prenat Diagn. 23(11):904-8, 2003
- Ekinci S et al: Inguinal hernia as a rare manifestation of meconium peritonitis: report of a case. Surg Today. 32(8):758-60, 2002
- Park WH et al: Congenital gastric teratoma with gastric perforation mimicking meconium peritonitis. J Pediatr Surg. 37(5):E11, 2002
- 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
- Han SJ et al: Biliary atresia associated with meconium peritonitis caused by perforation of small bowel atresia. J Pediatr Surg. 36(9):1390-3, 2001
- Hu MX et al: An unusual case of neonatal peritoneal calcifications associated with hydrometrocolpos. Pediatr Radiol. 31(10):742-4, 2001
- Agarwal N et al: Idiopathic origin of meconium peritonitis. Indian J Pediatr. 67(11):845-6, 2000
- Kamata S et al: Meconium peritonitis in utero. Pediatr Surg Int. 16(5-6):377-9, 2000
- Khadaroo RG et al: Fetus-in-fetu presenting as cystic meconium peritonitis: diagnosis, pathology, and surgical management. J Pediatr Surg. 35(5):721-3, 2000
- Reynolds E et al: Meconium peritonitis. J Perinatol. 20(3):193-5, 2000
- Shimotake T et al: Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Int. 16(1-2):43-4, 2000
- Varkonyi I et al: Meconium periorchitis: case report and literature review. Eur J Pediatr Surg. 10(6):404-7, 2000
- Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
- Kolker SE et al: Disseminated intravascular meconium in a newborn with meconium peritonitis. Hum Pathol. 30(5):592-4, 1999
- McDuffie RS Jr et al: Fetal meconium peritonitis after maternal hepatitis A. Am J Obstet Gynecol. 180(4):1031-2, 1999
- Niramis R et al: Meconium peritonitis. J Med Assoc Thai. 82(11):1063-70, 1999
- Ramesh JC et al: Meconium peritonitis: prenatal diagnosis and postnatal management--a case report. Med J Malaysia. 54(4):528-30, 1999
- Salman AB et al: Abdominal, scrotal, and thoracic calcifications owing to healed meconium peritonitis. J Pediatr Surg. 34(9):1415-6, 1999
- Tatekawa Y et al: The mechanism of focal intestinal perforations in neonates with low birth weight. Pediatr Surg Int. 15(8):549-52, 1999
- Patton WL et al: Systemic spread of meconium peritonitis. Pediatr Radiol. 28(9):714-6, 1998
- Tseng CW et al: Color Doppler energy in prenatal diagnosis of meconium peritonitis: a case report. Changgeng Yi Xue Za Zhi. 20(1):58-61, 1997
- Ali SW et al: Meconium peritonitis--a leading cause of neonatal peritonitis in Kashmir. Indian J Pediatr. 63(2):229-32, 1996
- Dirkes K et al: The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 30(7):979-82, 1995
- DuBois JJ et al: Inflammatory pseudocyst associated with trisomy 21 and Hirschsprung's disease. Mil Med. 160(9):477-9, 1995
- Konje JC et al: Antenatal diagnosis and management of meconium peritonitis: a case report and review of the literature. Ultrasound Obstet Gynecol. 6(1):66-9, 1995
