WordNet
- inflammation of the peritoneum (同)peritoneal inflammation
- thick dark green mucoid material that is the first feces of a newborn child
PrepTutorEJDIC
- 腹膜炎
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/11/20 22:22:09」(JST)
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Meconium peritonitis |
Classification and external resources |
Specialty |
pediatrics |
ICD-10 |
P78.0 |
ICD-9-CM |
777.6 |
X-ray of a newborn with meconium pseudocyst resulting from bowel perforation. In this case the cause was atresia of the terminal ileum. There is a fine rim of calcification surrounding the big pseudocyst which shifts the other intestinal structures outwards.
Meconium peritonitis refers to rupture of the bowel prior to birth, resulting in fetal stool (meconium) escaping into the surrounding space (peritoneum) leading to inflammation (peritonitis). Despite the bowel rupture, many infants born after meconium peritonitis in utero have normal bowels and have no further issues.
Infants with cystic fibrosis are at increased risk for meconium peritonitis.
Contents
- 1 Diagnosis
- 2 History
- 3 References
- 4 External links
Diagnosis
Twenty percent of infants born with meconium peritonitis will have vomiting and dilated bowels on x-rays which necessitates surgery.
Meconium peritonitis is sometimes diagnosed on prenatal ultrasound[1] where it appears as calcifications[2] within the peritoneum.
History
Meconium peritonitis was first described in 1838 by Carl von Rokitansky.
References
- ^ Tseng JJ, Chou MM, Ho ES (June 2003). "Meconium peritonitis in utero: prenatal sonographic findings and clinical implications". J Chin Med Assoc 66 (6): 355–9. PMID 12889504.
- ^ Dirkes, K; Crombleholme, TM; Craigo, SD; Latchaw, LA; Jacir, NN; Harris, BH; D'Alton, ME (July 1995). "The natural history of meconium peritonitis diagnosed in utero.". Journal of pediatric surgery 30 (7): 979–82. doi:10.1016/0022-3468(95)90325-9. PMID 7472957.
External links
Certain conditions originating in the perinatal period / fetal disease (P, 760–779)
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Maternal factors and
complications of pregnancy,
labour and delivery |
placenta: |
- Placenta praevia
- Placental insufficiency
- Twin-to-twin transfusion syndrome
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chorion/amnion: |
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umbilical cord: |
- Umbilical cord prolapse
- Nuchal cord
- Single umbilical artery
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Length of gestation
and fetal growth |
- Small for gestational age/Large for gestational age
- Preterm birth/Postmature birth
- Intrauterine growth restriction
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Birth trauma |
- scalp
- Cephalhematoma
- Chignon
- Caput succedaneum
- Subgaleal hemorrhage
- Brachial plexus lesion
- Erb's palsy
- Klumpke paralysis
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By system |
Respiratory |
- Intrauterine hypoxia
- Infant respiratory distress syndrome
- Transient tachypnea of the newborn
- Meconium aspiration syndrome
- pleural disease
- Pneumothorax
- Pneumomediastinum
- Wilson–Mikity syndrome
- Bronchopulmonary dysplasia
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Cardiovascular |
- Pneumopericardium
- Persistent fetal circulation
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Haemorrhagic and
hematologic disease |
- Vitamin K deficiency
- Haemorrhagic disease of the newborn
- HDN
- ABO
- Anti-Kell
- Rh c
- Rh D
- Rh E
- Hydrops fetalis
- Hyperbilirubinemia
- Kernicterus
- Neonatal jaundice
- Velamentous cord insertion
- Intraventricular hemorrhage
- Germinal matrix hemorrhage
- Anemia of prematurity
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Digestive |
- Ileus
- Necrotizing enterocolitis
- Meconium peritonitis
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Integument and
thermoregulation |
- Erythema toxicum
- Sclerema neonatorum
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Nervous system |
- Periventricular leukomalacia
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Musculoskeletal |
- Gray baby syndrome
- muscle tone
- Congenital hypertonia
- Congenital hypotonia
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Infectious |
- Vertically transmitted infection
- Congenital rubella syndrome
- Neonatal herpes simplex
- Mycoplasma hominis infection
- Omphalitis
- Neonatal sepsis
- Group B streptococcal infection
- Neonatal conjunctivitis
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Other |
- Perinatal mortality
- Stillbirth
- Infant mortality
- Neonatal withdrawal
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Index of developmental medicine
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Description |
- Embryology
- Cell lines
- Stem cells
- endoderm
- mesoderm
- ectoderm
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Disease |
- Due to toxins
- Syndromes
- Chromosomal
- Neonate
- Twins
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Index of obstetrics
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Description |
- Pregnancy
- Development
- Anatomy
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Disease |
- Pregnancy and childbirth
- Placenta and neonate
- Infections
- Symptoms and signs
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Treatment |
- Procedures
- Drugs
- oxytocins
- labor repressants
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UpToDate Contents
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English Journal
- Using prenatal MRI to define features of meconium peritonitis: an overall outcome.
- He F1, Yin Y2, Huang L1, Li H3, Cao Y1.
- Clinical radiology.Clin Radiol.2018 Feb;73(2):135-140. doi: 10.1016/j.crad.2017.08.006. Epub 2017 Sep 24.
- PMID 28954695
- Meconium ileus in Cystic Fibrosis.
- Sathe M1, Houwen R2.
- Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society.J Cyst Fibros.2017 Nov;16 Suppl 2:S32-S39. doi: 10.1016/j.jcf.2017.06.007.
- PMID 28986020
- Perspective of Taiwan's experience in the management of meconium peritonitis.
- Lin YS1, Yeh CC2, Chang WH3, Chan IS1, Lin CY1, Wang PH4.
- Taiwanese journal of obstetrics & gynecology.Taiwan J Obstet Gynecol.2017 Oct;56(5):709-710. doi: 10.1016/j.tjog.2017.08.024.
- PMID 29037567
Japanese Journal
- 高橋 顕雅,石田 光明,山中 章義,天野 創,郭 翔志,脇ノ上 史朗,中川 哲也,岡部 英俊,高橋 健太郎
- 日本臨床細胞学会雑誌 53(3), 169-175, 2014
- 目的 : 超音波機器の進歩に伴い, 胎児腹水の原因の診断精度は増しているが, 確定診断にいたらない例もある. より確実な診断手法が必要であり, 胎児腹水細胞診が早期診断に有用かを検討した.方法 : 2010 年 4 月∼2013 年 9 月に胎児腹水で当院に紹介され, 胎児腹水細胞診を施行した 8 例について, 臨床像, 細胞像の検討, および最終診断との合致について検討した.成績 : 細胞診を施 …
- NAID 130004513250
- 当科にて腸管ストーマ造設術を施行した極・超低出生体重児の検討
- 坂本 浩一,野口 啓幸,徳久 琢也 [他],石原 千詠,前出 喜信,山下 達也,向井 基,松藤 凡,茨 聡
- 日本小児外科学会雑誌 48(7), 1007-1012, 2012-12-20
- 【目的】近年の超低出生体重児(ELBWI)及び極低出生体重児(VLBWI)の出生数の増加・救命率の改善により,新生児消化管穿孔をはじめ,ELBWI/VLBWIに対し腸管ストーマ(ストーマ)を造設する機会が増加している.最近の当科におけるELBWI/VLBWIに対するストーマ造設症例を検討し,各疾患について検証したので報告する.【対象と方法】鹿児島市立病院総合周産期母子医療センターにおいて2007年 …
- NAID 110009562243
Related Links
- Meconium peritonitis refers to a sterile chemical peritonitis due to intra-uterine bowel perforation and spillage of fetal meconium into the fetal peritoneal cavity. It is a common cause of peritoneal calcification. Epidemiology The ...
- The aims of this study were to review our therapy and outcome for meconium peritonitis (MP) patients, and to clarify predictors of postoperative morbidity and mortality. We retrospectively reviewed a total 15 patients with ...
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