Meckel's diverticulum induced meconium peritonitis in a twin pregnancy

Li Chia Huang, Yao Ching Hung, Chien Chung Lee, Ming Ho

    Research output: Contribution to journalArticle

    Abstract

    Meconium peritonitis is a chemical peritonitis resulting from intrauterine bowel perforation. This condition is commonly due to underlying disorders including small bowel atresia, meconium ileus, meconium plug syndrome caused by cystic fibrosis, volvulus, and intussusception. Early prenatal diagnosis can be a decisive factor in prognosis of the neonates. We report a case of fetal meconium peritonitis due to Meckel's diverticulum in a female fetus of a twin pregnancy. The condition was successfully treated surgically. A 30-year-old multipara had been artificially inseminated with her husband's sperm. A triplet pregnancy was achieved and selective fetal reduction was performed at 12 weeks' gestation at the patient's request in our hospital. Ultrasound revealed fetal ascites, intra-abdominal calcification and bowel dilation in the female fetus at 30 weeks' gestation. A normal male infant and a female infant with distended abdomen were delivered by Cesarean section at 38 weeks' gestation. The female infant underwent emergency surgical intervention to treat her progressive abdominal distension. Meckel's diverticulum associated with intussusception and intestinal atresia near the terminal ileum was found. Segmental resection of the pathological intestine followed by end-to-end anastomosis were performed. Post-operative recovery was uneventful. Prenatal diagnosis of meconium peritonitis can be achieved by vigilant ultrasonographic examination. Early diagnosis and early surgical intervention are the decisive factors for good prognosis.

    Original languageEnglish (US)
    Pages (from-to)218-221
    Number of pages4
    JournalMid-Taiwan Journal of Medicine
    Volume10
    Issue number4
    StatePublished - Dec 1 2005

    Keywords

    • Echogenic bowel
    • Intussusception
    • Meckel's diverticulum
    • Meconium peritonitis
    • Twin pregnancy

    ASJC Scopus subject areas

    • Medicine(all)

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  • Cite this

    Huang, L. C., Hung, Y. C., Lee, C. C., & Ho, M. (2005). Meckel's diverticulum induced meconium peritonitis in a twin pregnancy. Mid-Taiwan Journal of Medicine, 10(4), 218-221.