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

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Ascherl, Rudolph, Vaz Pimentel, Duarte, Knüpfer, Mathias, Sorge, Ina, Lacher, Martin, Zimmermann, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986892/
https://www.ncbi.nlm.nih.gov/pubmed/31998597
http://dx.doi.org/10.1055/s-0039-3399556
_version_ 1783492043871354880
author Ascherl, Rudolph
Vaz Pimentel, Duarte
Knüpfer, Mathias
Sorge, Ina
Lacher, Martin
Zimmermann, Peter
author_facet Ascherl, Rudolph
Vaz Pimentel, Duarte
Knüpfer, Mathias
Sorge, Ina
Lacher, Martin
Zimmermann, Peter
author_sort Ascherl, Rudolph
collection PubMed
description 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.
format Online
Article
Text
id pubmed-6986892
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Georg Thieme Verlag KG
record_format MEDLINE/PubMed
spelling pubmed-69868922020-01-29 Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns Ascherl, Rudolph Vaz Pimentel, Duarte Knüpfer, Mathias Sorge, Ina Lacher, Martin Zimmermann, Peter European J Pediatr Surg Rep 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. Georg Thieme Verlag KG 2020-01 2020-01-28 /pmc/articles/PMC6986892/ /pubmed/31998597 http://dx.doi.org/10.1055/s-0039-3399556 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Ascherl, Rudolph
Vaz Pimentel, Duarte
Knüpfer, Mathias
Sorge, Ina
Lacher, Martin
Zimmermann, Peter
Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title_full Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title_fullStr Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title_full_unstemmed Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title_short Image of the Month: Meconium Peritonitis with Pseudocyst—A Spot Diagnosis in Newborns
title_sort image of the month: meconium peritonitis with pseudocyst—a spot diagnosis in newborns
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986892/
https://www.ncbi.nlm.nih.gov/pubmed/31998597
http://dx.doi.org/10.1055/s-0039-3399556
work_keys_str_mv AT ascherlrudolph imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns
AT vazpimentelduarte imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns
AT knupfermathias imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns
AT sorgeina imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns
AT lachermartin imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns
AT zimmermannpeter imageofthemonthmeconiumperitonitiswithpseudocystaspotdiagnosisinnewborns

Ejemplares similares