Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report
<p>Abstract</p> <p>Introduction</p> <p>Giant cystic meconium peritonitis is relatively rare. Patients often present with nonspecific physical findings such as distension and emesis. Plain abdominal films remain invaluable for identifying the characteristic calcification...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-08-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/6/1/229 |
| _version_ | 1818136064088342528 |
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| author | Barthel Erik R Speer Allison L Levin Daniel E Naik-Mathuria Bindi J Grikscheit Tracy C |
| author_facet | Barthel Erik R Speer Allison L Levin Daniel E Naik-Mathuria Bindi J Grikscheit Tracy C |
| author_sort | Barthel Erik R |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Giant cystic meconium peritonitis is relatively rare. Patients often present with nonspecific physical findings such as distension and emesis. Plain abdominal films remain invaluable for identifying the characteristic calcifications seen with a meconium pseudocyst, and large eggshell calcifications are pathognomonic for the giant cystic subtype.</p> <p>Case presentation</p> <p>We present classic plain X-ray findings and an intraoperative image of a premature low birth weight two-day-old Hispanic male baby treated for giant cystic meconium peritonitis with a staged procedure involving peritoneal drainage, ostomy creation and closure.</p> <p>Conclusion</p> <p>Pediatric surgeons have a range of potential therapeutic approaches for giant cystic meconium peritonitis. A delay of definitive surgical management in the setting of massive abdominal soiling is a safe and acceptable strategy if adequate temporizing drainage is performed in the early perinatal period.</p> |
| first_indexed | 2024-12-11T09:34:28Z |
| format | Article |
| id | doaj.art-c0089356dce543d684ead2170d663d5c |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-11T09:34:28Z |
| publishDate | 2012-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-c0089356dce543d684ead2170d663d5c2022-12-22T01:12:55ZengBMCJournal of Medical Case Reports1752-19472012-08-016122910.1186/1752-1947-6-229Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case reportBarthel Erik RSpeer Allison LLevin Daniel ENaik-Mathuria Bindi JGrikscheit Tracy C<p>Abstract</p> <p>Introduction</p> <p>Giant cystic meconium peritonitis is relatively rare. Patients often present with nonspecific physical findings such as distension and emesis. Plain abdominal films remain invaluable for identifying the characteristic calcifications seen with a meconium pseudocyst, and large eggshell calcifications are pathognomonic for the giant cystic subtype.</p> <p>Case presentation</p> <p>We present classic plain X-ray findings and an intraoperative image of a premature low birth weight two-day-old Hispanic male baby treated for giant cystic meconium peritonitis with a staged procedure involving peritoneal drainage, ostomy creation and closure.</p> <p>Conclusion</p> <p>Pediatric surgeons have a range of potential therapeutic approaches for giant cystic meconium peritonitis. A delay of definitive surgical management in the setting of massive abdominal soiling is a safe and acceptable strategy if adequate temporizing drainage is performed in the early perinatal period.</p>http://www.jmedicalcasereports.com/content/6/1/229 |
| spellingShingle | Barthel Erik R Speer Allison L Levin Daniel E Naik-Mathuria Bindi J Grikscheit Tracy C Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report Journal of Medical Case Reports |
| title | Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report |
| title_full | Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report |
| title_fullStr | Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report |
| title_full_unstemmed | Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report |
| title_short | Giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach: a case report |
| title_sort | giant cystic meconium peritonitis presenting in a neonate with classic radiographic eggshell calcifications and treated with an elective surgical approach a case report |
| url | http://www.jmedicalcasereports.com/content/6/1/229 |
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