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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 219-220

A rare case of meconium peritonitis


Department of Obstetrics & Gynecology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth (Deemed-to-be-University), Puducherry 607 402, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Rupal Samal
Department of Obstetrics & Gynecology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth (Deemed-to-be-University), Puducherry 607 402
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2364_19

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How to cite this article:
Samal R. A rare case of meconium peritonitis. Indian J Med Res 2020;152, Suppl S1:219-20

How to cite this URL:
Samal R. A rare case of meconium peritonitis. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:219-20. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/219/316838

Patient consent obtained to publish clinical information and images.


A 26 yr old primigravida at 35 wk gestation presented to the department of Obstetrics & Gynaecology, Mahatma Gandhi Medical College & Research Institute, Puducherry, India, reported loss of foetal movement for one day. She had perceived reduced foetal movement (RFM) for the past two days. She was a booked patient with low risk and normal anomaly scan. Clinical examination revealed a symphysial fundal height of 32 cm, single live foetus, cephalic presentation and relaxed uterus. Ultrasound examination revealed oligohydramnios, foetal ascites, dilated bowel loops [Figure 1] and [Figure 2] and cardiotocography (CTG) – non-reassuring trace. An emergency caesarean section for foetal distress was carried out and the baby was ventilated postnatally. Ultrasound confirmed meconium peritonitis and the baby was operated on the second day of neonatal life. Intraoperative findings are shown in [Figure 3] and [Figure 4]. Jejunal resection with anastomosis was done. Mother and baby recovered well and were discharged on the eighth day postoperatively.
Figure 1: Foetal ascites.

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Figure 2: Dilated bowel loop.

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Figure 3: Volvulus of jejunum.

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Figure 4: Jejunal perforation.

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Maternal counselling for early reporting of any perceived abnormality of foetal movement can prevent stillbirths. Ultrasound should be performed as preliminary investigation along with CTG in evaluation of these women. Improved prenatal diagnosis and surgical management of meconium peritonitis will have increased survival rates.

Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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