A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst
Fetal meconium peritonitis (MP) is a rare occurrence. Neonate that survives this rare condition is likely to form a meconium pseudocyst. Hereby, we present a case of a 33-year-old pregnant woman that presented with premature rupture of membranes at 34 weeks of gestation. Antenatal ultrasonography a...
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EL-Med-Pub
2018-10-01
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| Series: | Journal of Neonatal Surgery |
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| Online Access: | https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/400 |
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doaj-ed72ad03b0a74eb3aa16e54d4c86a92b2020-11-25T03:58:31ZengEL-Med-PubJournal of Neonatal Surgery2226-04392018-10-017410.21699/jns.v7i4.809400A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium PseudocystJih Huei Tan0Henry Chor Lip Tan1Zi Qin Ng2Najua Ramli3V Muthualhagi A/P Vellusamy4Sultanah Aminah HospitalSultanah Aminah HospitalSt John of God Midland Public & Private HospitalSultanah Aminah HospitalSultanah Aminah Hospital Fetal meconium peritonitis (MP) is a rare occurrence. Neonate that survives this rare condition is likely to form a meconium pseudocyst. Hereby, we present a case of a 33-year-old pregnant woman that presented with premature rupture of membranes at 34 weeks of gestation. Antenatal ultrasonography at 33 weeks revealed abnormal dilated bowel within the viable fetus. An emergency Cesarean section was performed and a baby boy was delivered at 34 weeks. Physical examination of the baby at birth revealed a palpable central abdominal mass. Lower gastrointestinal contrast imaging revealed a non-opacified dilated proximal small bowel and opacified collapsed distal small bowels and colon. A laparotomy was carried out and revealed MP with pseudocyst formation due to a midgut volvulus. Interestingly, meconium contamination was confined due to associated atretic small bowel which occurred secondary to the volvulus. https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/400Meconium peritonitisPseudocystMidgut volvulus |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Jih Huei Tan Henry Chor Lip Tan Zi Qin Ng Najua Ramli V Muthualhagi A/P Vellusamy |
| spellingShingle |
Jih Huei Tan Henry Chor Lip Tan Zi Qin Ng Najua Ramli V Muthualhagi A/P Vellusamy A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst Journal of Neonatal Surgery Meconium peritonitis Pseudocyst Midgut volvulus |
| author_facet |
Jih Huei Tan Henry Chor Lip Tan Zi Qin Ng Najua Ramli V Muthualhagi A/P Vellusamy |
| author_sort |
Jih Huei Tan |
| title |
A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst |
| title_short |
A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst |
| title_full |
A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst |
| title_fullStr |
A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst |
| title_full_unstemmed |
A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst |
| title_sort |
rare association of small bowel atresia and in-utero midgut volvulus presenting as fetal meconium pseudocyst |
| publisher |
EL-Med-Pub |
| series |
Journal of Neonatal Surgery |
| issn |
2226-0439 |
| publishDate |
2018-10-01 |
| description |
Fetal meconium peritonitis (MP) is a rare occurrence. Neonate that survives this rare condition is likely to form a meconium pseudocyst. Hereby, we present a case of a 33-year-old pregnant woman that presented with premature rupture of membranes at 34 weeks of gestation. Antenatal ultrasonography at 33 weeks revealed abnormal dilated bowel within the viable fetus. An emergency Cesarean section was performed and a baby boy was delivered at 34 weeks. Physical examination of the baby at birth revealed a palpable central abdominal mass. Lower gastrointestinal contrast imaging revealed a non-opacified dilated proximal small bowel and opacified collapsed distal small bowels and colon. A laparotomy was carried out and revealed MP with pseudocyst formation due to a midgut volvulus. Interestingly, meconium contamination was confined due to associated atretic small bowel which occurred secondary to the volvulus.
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| topic |
Meconium peritonitis Pseudocyst Midgut volvulus |
| url |
https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/400 |
| work_keys_str_mv |
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