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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
- Transient functional obstruction of newborn colon
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
- Hajivassiliou CA: Intestinal obstruction in neonatal/pediatric surgery. Semin Pediatr Surg. 12(4):241-53, 2003
- 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
- Transient functional obstruction of newborn colon
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
- Hajivassiliou CA: Intestinal obstruction in neonatal/pediatric surgery. Semin Pediatr Surg. 12(4):241-53, 2003
- 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
