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CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e1-e2
DOI: 10.1055/s-0039-3399556
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns

Rudolph Ascherl
1   Department of Neonatology, Universitätsklinikum Leipzig, Leipzig, Germany
,
Duarte Vaz Pimentel
2   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Mathias Knüpfer
1   Department of Neonatology, Universitätsklinikum Leipzig, Leipzig, Germany
,
Ina Sorge
3   Department of Pediatric Radiology, Universitätsklinikum Leipzig, Leipzig, Sachsen, Germany
,
Martin Lacher
2   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Peter Zimmermann
2   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

23 September 2019

25 September 2019

Publication Date:
28 January 2020 (online)

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Abstract

We report on a male preterm newborn with a large abdominal tumor found on prenatal ultrasound 2 weeks prior to delivery at 36 + 0 weeks of gestation. A postnatal abdominal plain film showed a mass with well-defined rim calcifications (“eggshell”), suggestive of a meconium pseudocyst. On the 4th day of life, the boy underwent exploratory laparotomy with resection of the cyst and end-to-back jejunojejunostomy. The postoperative course was uneventful. A meconium pseudocyst is the correlate of a sterile peritonitis caused by antenatal bowel perforation. It is an easily recognizable spot diagnosis any pediatrician and pediatric surgeon should be aware of.

Keywords

meconium - pseudocyst - cyst - newborn - calcification
 

  • References

  • 1 Lee YC, Chen CJ. Meconium pseudocyst: a classical and successfully treated case. J Formos Med Assoc 2009; 108 (03) 247-252
    CrossrefPubMedSearch in Google Scholar
  • 2 Minato M, Okada T, Miyagi H. , et al. Meconium pseudocyst with particular pathologic findings: a case report and review of the literature. J Pediatr Surg 2012; 47 (04) e9-e12
    PubMedSearch in Google Scholar
  • 3 Miyake H, Urushihara N, Fukumoto K. , et al. Primary anastomosis for meconium peritonitis: first choice of treatment. J Pediatr Surg 2011; 46 (12) 2327-2331
    CrossrefPubMedSearch in Google Scholar
  • 4 Chan KWE, Lee KH, Wong HYV. , et al. Cystic meconium peritonitis with jejunoileal atresia: is it associated with unfavorable outcome?. World J Clin Pediatr 2017; 6 (01) 40-44
    PubMedSearch in Google Scholar
  • 5 Reynolds E, Douglass B, Bleacher J. Meconium peritonitis. J Perinatol 2000; 20 (03) 193-195
    CrossrefPubMedSearch in Google Scholar
  • 6 Sathe M, Houwen R. Meconium ileus in cystic fibrosis. J Cyst Fibros 2017; 16 (Suppl. 02) S32-S39
    PubMedSearch in Google Scholar