Meconium Peritonitis Due to Meconium Ileus Presenting as Fetal Ascites: A Case Report

CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.

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Meconium periorchitis: A case report and literature review

Canadian Urological Association Journal ◽

10.5489/cuaj.316 ◽

2013 ◽

Vol 7 (7-8) ◽

pp. 495 ◽

Cited By ~ 15

Author(s):

Ammar Hameed Alanbuki ◽

Ashwith Bandi ◽

Nick Blackford

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Disease ◽

Relevant Literature ◽

Plain Film ◽

Meconium Peritonitis ◽

Histological Features ◽

Abdominal Plain Film ◽

Scrotal Ultrasound

Meconium periorchitis (MPO) is an uncommon entity associated with healed meconium peritonitis. The typical presentation is a soft hydrocele at birth which becomes harder in weeks as the meconium calcifies. A lack of awareness of this rare disease may lead to unnecessary surgery of scrotal masses. It can resolve spontaneously without compromising the testicle. Scrotal ultrasound is the mainstay of imaging and abdominal plain film is less sensitive but can help in the diagnosis. We report a case of a meconium periorchitis and discuss its radiological and histological features. We also review the relevant literature.

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Meconium Ileus and Meconium Peritonitis

Archives of Surgery ◽

10.1001/archsurg.1957.01280110075010 ◽

1957 ◽

Vol 74 (5) ◽

pp. 733 ◽

Cited By ~ 5

Author(s):

PAUL F. FOX

Keyword(s):

Meconium Ileus ◽

Meconium Peritonitis

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Complicated Meconium Ileus: Case Report with Review of Literature

International Journal of Science and Research (IJSR) ◽

10.21275/art20174947 ◽

2017 ◽

Vol 6 (7) ◽

pp. 82-84

Keyword(s):

Case Report ◽

Meconium Ileus ◽

Review Of Literature

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Non-immune hydrops fetalis with intrauterine meconium peritonitis – a case report

Postępy Neonatologii ◽

10.31350/postepyneonatologii/2018/2/pn2018015 ◽

2018 ◽

Vol 2018 (2) ◽

pp. 143-148

Author(s):

Agnieszka Sontowska ◽

Maria Beata Czeszyńska ◽

Violetta Seskowicz-Wnuk ◽

Elżbieta Baryła-Pankiewicz

Keyword(s):

Case Report ◽

Hydrops Fetalis ◽

Meconium Peritonitis

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Liver Injury After Oral and Rectal Administration of N-Acetylcysteine for Meconium Ileus Equivalent in a Patient With Cystic Fibrosis

PEDIATRICS ◽

10.1542/peds.79.2.281 ◽

1987 ◽

Vol 79 (2) ◽

pp. 281-282

Author(s):

DAVID J. BAILEY ◽

JOEL M. ANDRES

Keyword(s):

Cystic Fibrosis ◽

Case Report ◽

Adverse Reactions ◽

Hepatic Dysfunction ◽

Pancreatic Enzyme ◽

Rectal Administration ◽

Meconium Ileus ◽

Left Femur ◽

Enzyme Replacement ◽

Mucolytic Agent

N-acetylcysteine (NAC) is a mucolytic agent (Mucomyst, Mead-Johnson) that is often used for the treatment of meconium ileus equivalent, a complication of cystic fibrosis.1-3 No serious adverse reactions to nonparenterally administered NAC have been observed, and there have been no reports of significant hepatotoxicity. We describe a patient in whom severe hepatic dysfunction occurred on two occasions after the administration of NAC for the treatment of meconium ileus equivalent. CASE REPORT A 3-year-old, 12.5-kg, white boy with cystic fibrosis was admitted for treatment of a fractured left femur. His medications included theophylline, metaproterenol, cefaclor, nebulized isoethanine, and pancreatic enzyme replacement with meals.

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Filth, impurity, and threat

10.1093/med/9780198854807.003.0044 ◽

2021 ◽

pp. 311-317

Author(s):

Michael Obladen

Keyword(s):

Cystic Fibrosis ◽

Fetal Death ◽

Severe Disease ◽

Meconium Ileus ◽

Fetal Life ◽

Meconium Peritonitis ◽

Meconium Aspiration ◽

The Us

In many religions, body secretions have been regarded as impure or dangerous. Meconium, the pitch-like substance filling the gut at birth, was considered the embodiment of impurity and actively driven out from the newborn’s body. The custom was advantageous by breaking the taboo on colostrum consumption. Passing the meconium before birth was considered a bad omen. The claim that it indicated fetal death led to intense debates between the Parisian surgeons Viardel and Mauriceau. In 1798, Scheel described meconium aspiration into the airways, a severe disease still causing 1000 deaths annually in the US in 2008. Meconium ileus resulted from a hardened substance within the gut, linked to cystic fibrosis of the pancreas by Landsteiner in 1905. Meconium peritonitis, described by Morgagni in 1751, resulted when the dilated gut perforated during fetal life. A series of meconium occlusion and peritonitis were described in 1877 among infants admitted to the St. Petersburg Foundling Hospital. For centuries, ‘expelling’ the meconium was a postnatal routine with similarities to exorcism, freeing the child from evil.

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