THIRD TRIMESTER PRENATAL DIAGNOSIS OF MECONIUM PERITONITIS FOLLOWING ILEAL ATRESIA

CASE REPORT

Abstract

Ileal atresia in association with meconium peritonitis is a rare condition for which the mechanism underlying the bowel perforation has not been fully recognized. We present a case of fetal meconium peritonitis with ileal atresia and a hyper-coiled umbilical cord. Clinically, the cause of obstruction and perforation is considered to be a consequence of congenital vascular anomalies. The infant was born at 35 weeks of gestation and survived after postnatal multidisciplinary treatment. Our experience suggests that ultrasound recognition of this rare condition will enable early diagnosis and adequate surgical management for fetuses with meconium peritonitis following bowel obstruction.