Intrauterine Meconium Peritonitis: An Unusual Case of Foetal Ascites

Authors

  • Rajan Paudel Division of Neonatology, Department of Paediatrics, BPKIHS, Dharan, Nepal
  • Nisha Keshary Bhatta Division of Neonatology, Department of Paediatrics, BPKIHS, Dharan, Nepal
  • Rajesh Shah Division of Paediatric Surgery, Department of Surgery, BPKIHS, Dharan, Nepal
  • Lokraj Shah Division of Neonatology, Department of Paediatrics, BPKIHS, Dharan, Nepal
  • Anshu Poudel Division of Neonatology, Department of Paediatrics, BPKIHS, Dharan, Nepal

DOI:

https://doi.org/10.3126/jnps.v41i2.35294

Keywords:

Ascites, Meconium, Peritonitis

Abstract

Meconium peritonitis is defined as aseptic chemical inflammation caused by an intrauterine bowel perforation. Its incidence is 1 in 35,000 live births. We present a case of meconium peritonitis presented at second day of postnatal life with isolated gross fetal ascites. Exploratory laprotomy was performed, suggestive of gross ascites with fecal contamination and perforation at terminal ileum for which ileal resection with double barrel ileostomy had been done. Postoperatively patient condition had improved and discharged. We would like to highlight this rare presentation of meconium peritonitis following intrauterine bowel perforation in fetus.

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Published

2021-11-03

How to Cite

Paudel, R., Bhatta, N. K., Shah, R., Shah, L., & Poudel, A. (2021). Intrauterine Meconium Peritonitis: An Unusual Case of Foetal Ascites. Journal of Nepal Paediatric Society, 41(2), 294–297. https://doi.org/10.3126/jnps.v41i2.35294

Issue

Section

Case Reports