A Case of Generalized Meconium Peritonitis without Peritoneal Calcification.

Hwang,  Kyung Tae; Kim,  Jung Hyun; Ko,  Kyong Og; Yoo,  Yun Duk

Case Report

Journal of the Korean Society of Neonatology 1998;5(2):232-236.
Published online January 1, 2001.

A Case of Generalized Meconium Peritonitis without Peritoneal Calcification.

Kyung Tae Hwang, Jung Hyun Kim, Kyong Og Ko, Yun Duk Yoo

Department of Pediatrics, Sun General Hospital, Taejeon, Korea.

Abstract

Neonatal ascites is an uncommon problem with many etiologies. The common causes include hematologic diseases, bowel perforation, obstructive uropathy, cardiovascular diseases, chylous ascites, intrauterine infection, and meconium peritonitis. Recently, the wide application of sonography has greatly narrowed the list of differential diagnosis of neonatal ascites. Meconium peritonitis is readily diagnosed if calcification in the abdomen or scrotum can be seen radiologically or sonographically in a neonate with abdominal distension at birth. We report a case of generalized meconium peritonitis without intraabdominal calcification by radiologic and sonographic study and notable meconium hydrocele at birth.

Key Words: Meconium peritonitis; Peritoneal calcification