Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Ileal Atresia Complicated by Meconium Peritonitis

태변성 복막염을 동반한 회장무공증

  • Moon, Seok-II (Department of Surgery, Catholic University Medical College) ;
  • Song, Young-Tack (Department of Surgery, Catholic University Medical College)
  • 문석일 (가톨릭대학교 의과대학 외과학교실) ;
  • 송영택 (가톨릭대학교 의과대학 외과학교실)
  • Published : 1996.11.30
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Abstract

Meconium peritonitis is a primarily aseptic, chemical peritonitis caused by the spill of meconium into the abdominal cavity through an intestinal perforation during the intrauterine or perinatal period. The perforation is known to be related to intrauterine vascular compromise. Recently, the authors experienced 4 cases of ileal atresia complicated by meconium peritonitis. The male to female sex ratio was 1 : 3, and age at operation was 1 day(2 cases), 3 days(2 cases). Three cases had generalized peritonitis, and one the cystic type of meconium peritonitis. The types of ileal atresia were IIIa(2 cases), IIIb(1 case), and II(1 case). The proximal blind ileal end was perforated in 3 cases, and distal end perforation was in 1 case of cystic type. Postoperative recovery was excellent in all cases.

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