Retained colonic meconium/plug is likely secondary finding (not primary cause of mechanical obstruction)
Debate exists if MPS & NSLC are same entity
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Baad M et al: Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates. Pediatr Surg Int. 36(9):1093-101, 2020
Buonpane C et al: Should we look for Hirschsprung disease in all children with meconium plug syndrome? J Pediatr Surg. 54(6):1164-7, 2019
Wood K et al: Neonatal small left colon syndrome (NSLCS): rare but important complication in an infant of diabetic mother. BMJ Case Rep. 2018, 2018
Kang ZL et al: Neonatal small left colon syndrome. BMJ Case Rep. 2015, 2015
Maurin S et al: Small left colon syndrome in 3 sisters. J Pediatr Surg. 55(9):e1-3, 2014
Cuenca AG et al: "Pulling the plug"--management of meconium plug syndrome in neonates. J Surg Res. 175(2):e43-6, 2012
Ellis H et al: Neonatal small left colon syndrome in the offspring of diabetic mothers-an analysis of 105 children. J Pediatr Surg. 44(12):2343-6, 2009
Keckler SJ et al: Current significance of meconium plug syndrome. J Pediatr Surg. 43(5):896-8, 2008
Burge D et al: Meconium plug obstruction. Pediatr Surg Int. 20(2):108-10, 2004
De Backer AI et al: Radiographic manifestations of intestinal obstruction in the newborn. JBR-BTR. 82(4):159-66, 1999
Lassmann G et al: Transient functional obstruction of the colon in neonates: examination of its development by manometry and biopsies. Prog Pediatr Surg. 24:202-16, 1989
Amodio J et al: Microcolon of prematurity: a form of functional obstruction. AJR Am J Roentgenol. 146(2):239-44, 1986
Ellerbroek C et al: Neonatal small left colon in an infant with cystic fibrosis. Pediatr Radiol. 16(2):162-3, 1986
Berdon WE et al: Neonatal small left colon syndrome: its relationship to aganglionosis and meconium plug syndrome. Radiology. 125(2):457-62, 1977
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Neonatal small left colon (NSLC)
Synonyms
Meconium plug syndrome (MPS)
Functional immaturity of colon
Definitions
Transient functional obstruction of newborn colon
Retained colonic meconium/plug is likely secondary finding (not primary cause of mechanical obstruction)
Debate exists if MPS & NSLC are same entity
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Baad M et al: Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates. Pediatr Surg Int. 36(9):1093-101, 2020
Buonpane C et al: Should we look for Hirschsprung disease in all children with meconium plug syndrome? J Pediatr Surg. 54(6):1164-7, 2019
Wood K et al: Neonatal small left colon syndrome (NSLCS): rare but important complication in an infant of diabetic mother. BMJ Case Rep. 2018, 2018
Kang ZL et al: Neonatal small left colon syndrome. BMJ Case Rep. 2015, 2015
Maurin S et al: Small left colon syndrome in 3 sisters. J Pediatr Surg. 55(9):e1-3, 2014
Cuenca AG et al: "Pulling the plug"--management of meconium plug syndrome in neonates. J Surg Res. 175(2):e43-6, 2012
Ellis H et al: Neonatal small left colon syndrome in the offspring of diabetic mothers-an analysis of 105 children. J Pediatr Surg. 44(12):2343-6, 2009
Keckler SJ et al: Current significance of meconium plug syndrome. J Pediatr Surg. 43(5):896-8, 2008
Burge D et al: Meconium plug obstruction. Pediatr Surg Int. 20(2):108-10, 2004
De Backer AI et al: Radiographic manifestations of intestinal obstruction in the newborn. JBR-BTR. 82(4):159-66, 1999
Lassmann G et al: Transient functional obstruction of the colon in neonates: examination of its development by manometry and biopsies. Prog Pediatr Surg. 24:202-16, 1989
Amodio J et al: Microcolon of prematurity: a form of functional obstruction. AJR Am J Roentgenol. 146(2):239-44, 1986
Ellerbroek C et al: Neonatal small left colon in an infant with cystic fibrosis. Pediatr Radiol. 16(2):162-3, 1986
Berdon WE et al: Neonatal small left colon syndrome: its relationship to aganglionosis and meconium plug syndrome. Radiology. 125(2):457-62, 1977
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