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Meconium peritonitis

MedGen UID:
542628
•Concept ID:
C0270250
•
Disease or Syndrome
Synonym: Meconium Peritonitis
SNOMED CT: Meconium peritonitis (57341009)
 
HPO: HP:0030717

Definition

Peritonitis caused by intrauterine intestinal rupture and spillage of fetal meconium into the fetal peritoneal cavity. Intra-peritoneal meconium usually calcifies, sometimes within 24 hours. Ultrasound findings may include intraabdominal calcifications. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMeconium peritonitis

Conditions with this feature

Meier-Gorlin syndrome 7
MedGen UID:
934705
•Concept ID:
C4310738
•
Disease or Syndrome
Any Meier-Gorlin syndrome in which the cause of the disease is a mutation in the CDC45 gene.
See: Condition Record
Meier-Gorlin syndrome 7

Professional guidelines

PubMed

Fetal magnetic resonance imaging contributes to the diagnosis and treatment of meconium peritonitis.
Lu Y, Ai B, Zhang W, Liu H
BMC Med Imaging 2020 May 24;20(1):55. doi: 10.1186/s12880-020-00453-8. PMID: 32448115Free PMC Article
Postnatal Treatment in Antenatally Diagnosed Meconium Peritonitis.
Ionescu S, Andrei B, Oancea M, Licsandru E, Ivanov M, Marcu V, Popa-Stanila R, Mocanu M
Chirurgia (Bucur) 2015 Nov-Dec;110(6):538-44. PMID: 26713828
Contemporary management of meconium ileus.
Rescorla FJ, Grosfeld JL
World J Surg 1993 May-Jun;17(3):318-25. doi: 10.1007/BF01658698. PMID: 8337877

Recent clinical studies

Etiology

Gastrointestinal Emergency in Neonates and Infants: A Pictorial Essay.
Choi G, Je BK, Kim YJ
Korean J Radiol 2022 Jan;23(1):124-138. doi: 10.3348/kjr.2021.0111. PMID: 34983099Free PMC Article
Meconium peritonitis: A 22-year review in a tertiary referral center.
Wong CWY, Wong KKY
J Pediatr Surg 2022 Aug;57(8):1504-1508. Epub 2021 Oct 15 doi: 10.1016/j.jpedsurg.2021.10.006. PMID: 34794810
Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.
Shinar S, Agrawal S, Ryu M, Van Mieghem T, Daneman A, Ryan G, Zani A, Chiu P, Chitayat D
Ultraschall Med 2022 Apr;43(2):194-203. Epub 2020 Jun 23 doi: 10.1055/a-1194-4363. PMID: 32575129
Meconium peritonitis.
Niramis R, Watanatittan S, Anuntakosol M, Rattanasuwan T, Buranakitjaroen V
J Med Assoc Thai 1999 Nov;82(11):1063-70. PMID: 10659538
Contemporary management of meconium ileus.
Rescorla FJ, Grosfeld JL
World J Surg 1993 May-Jun;17(3):318-25. doi: 10.1007/BF01658698. PMID: 8337877

Diagnosis

Gastrointestinal Emergency in Neonates and Infants: A Pictorial Essay.
Choi G, Je BK, Kim YJ
Korean J Radiol 2022 Jan;23(1):124-138. doi: 10.3348/kjr.2021.0111. PMID: 34983099Free PMC Article
Intra-uterine Meconium Peritonitis.
Nawaz R, Khushdil A, Ahmed N
J Coll Physicians Surg Pak 2019 Jan;29(1):97-98. doi: 10.29271/jcpsp.2019.01.97. PMID: 30630586
Pediatric scrotal ultrasound: review and update.
Alkhori NA, Barth RA
Pediatr Radiol 2017 Aug;47(9):1125-1133. Epub 2017 Aug 4 doi: 10.1007/s00247-017-3923-9. PMID: 28779199
Intestinal atresia.
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122
Meconium peritonitis.
Niramis R, Watanatittan S, Anuntakosol M, Rattanasuwan T, Buranakitjaroen V
J Med Assoc Thai 1999 Nov;82(11):1063-70. PMID: 10659538

Therapy

Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.
Shinar S, Agrawal S, Ryu M, Van Mieghem T, Daneman A, Ryan G, Zani A, Chiu P, Chitayat D
Ultraschall Med 2022 Apr;43(2):194-203. Epub 2020 Jun 23 doi: 10.1055/a-1194-4363. PMID: 32575129
Is the Bishop-Koop procedure useful in severe jejunoileal atresia?
Peng Y, Zheng H, He Q, Wang Z, Zhang H, Chaudhari PB, Zhong W, Yu J
J Pediatr Surg 2018 Oct;53(10):1914-1917. Epub 2018 Apr 5 doi: 10.1016/j.jpedsurg.2018.03.027. PMID: 29709288
Meconium Peritonitis: Correlation of Antenatal Diagnosis and Postnatal Outcome - An Institutional Experience over 10 Years.
Ping LM, Rajadurai VS, Saffari SE, Chandran S
Fetal Diagn Ther 2017;42(1):57-62. Epub 2016 Sep 21 doi: 10.1159/000449380. PMID: 27649500
Fetal Meconium Peritonitis and Maternal Liver Disease.
Lai CWS, Shek NWM
Obstet Gynecol 2016 Apr;127(4):740-743. doi: 10.1097/AOG.0000000000001337. PMID: 26959203
Gastrointestinal surgery in cystic fibrosis.
Beierle EA, Vinocur CD
Curr Opin Pulm Med 1998 Nov;4(6):319-25. doi: 10.1097/00063198-199811000-00002. PMID: 10813209

Prognosis

Meconium peritonitis: A 22-year review in a tertiary referral center.
Wong CWY, Wong KKY
J Pediatr Surg 2022 Aug;57(8):1504-1508. Epub 2021 Oct 15 doi: 10.1016/j.jpedsurg.2021.10.006. PMID: 34794810
Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.
Shinar S, Agrawal S, Ryu M, Van Mieghem T, Daneman A, Ryan G, Zani A, Chiu P, Chitayat D
Ultraschall Med 2022 Apr;43(2):194-203. Epub 2020 Jun 23 doi: 10.1055/a-1194-4363. PMID: 32575129
Intra-uterine Meconium Peritonitis.
Nawaz R, Khushdil A, Ahmed N
J Coll Physicians Surg Pak 2019 Jan;29(1):97-98. doi: 10.29271/jcpsp.2019.01.97. PMID: 30630586
Intestinal atresia.
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122
Meconium peritonitis.
Niramis R, Watanatittan S, Anuntakosol M, Rattanasuwan T, Buranakitjaroen V
J Med Assoc Thai 1999 Nov;82(11):1063-70. PMID: 10659538

Clinical prediction guides

Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.
Shinar S, Agrawal S, Ryu M, Van Mieghem T, Daneman A, Ryan G, Zani A, Chiu P, Chitayat D
Ultraschall Med 2022 Apr;43(2):194-203. Epub 2020 Jun 23 doi: 10.1055/a-1194-4363. PMID: 32575129
Meconium peritonitis: the role of postnatal radiographic and sonographic findings in predicting the need for surgery.
Caro-Domínguez P, Zani A, Chitayat D, Daneman A
Pediatr Radiol 2018 Nov;48(12):1755-1762. Epub 2018 Jul 16 doi: 10.1007/s00247-018-4198-5. PMID: 30014199
Clinical manifestations in infants with symptomatic meconium peritonitis.
Tsai MH, Chu SM, Lien R, Huan HR, Luo CC
Pediatr Neonatol 2009 Apr;50(2):59-64. doi: 10.1016/s1875-9572(09)60034-6. PMID: 19453080
Intestinal atresia.
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122
Fetal gastric pseudomasses.
Fakhry J, Shapiro LR, Schechter A, Weingarten M, Glennon A
J Ultrasound Med 1987 Apr;6(4):177-80. doi: 10.7863/jum.1987.6.4.177. PMID: 3295283

Recent systematic reviews

Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.
Shinar S, Agrawal S, Ryu M, Van Mieghem T, Daneman A, Ryan G, Zani A, Chiu P, Chitayat D
Ultraschall Med 2022 Apr;43(2):194-203. Epub 2020 Jun 23 doi: 10.1055/a-1194-4363. PMID: 32575129

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