in utero bowel perforation
In utero bowel perforation results in a chemical peritonitis (meconium peritonitis) from peritoneal leakage of sterile meconium.
It can result from many causes which include:
- intestinal atresias:
- in utero intestinal ischemia
- underlying gastroschisis
- fetal intestinal volvulus
Epidemiology
The estimated incidence is variable, ranging ~1 in 3000-35,000 births.
Pathology
Risk factors
Recognized risk factors include:
- maternal narcotic cocaine consumption
Radiographic features
Antenatal ultrasound
The typical features are those of meconium peritonitis and include:
These are discussed in detail in that article.
Complications
- meconium pseudocyst formation
Siehe auch:
- Gastroschisis
- Analatresie
- Polyhydramnion
- Ileumatresie
- Mekoniumperitonitis
- intra-abdominal calcification (neonatal)
- jejuno-ileal atresia
- fetaler Aszites
- Meconiumpseudozyste
und weiter:
Assoziationen und Differentialdiagnosen zu antenatale Darmperforation:
