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:


The estimated incidence is variable, ranging ~1 in 3000-35,000 births.


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.


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