• Neonatal Medicine
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• 제15권2호
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• pp.207-211
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• 2008

저자들은 산전 진찰을 받지않아 매독에 감염되었는지 모르고 지내던 산모에서 태어나, 빈혈, 혈소판 감소증, 자반, 간비종대와 다량의 늑막삼출과 복수가 동반된 미숙아에서 선천성 매독에 의한 비면역성 태아수종으로 진단하여 적절한 치료 후 생존된 1례를 경험하였기에 보고하는 바이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권6호
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• pp.576-580
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• 2019

Meconium peritonitis as a cause of non-immune hydrops in neonates is rarely reported. Here we report such a rare occurrence. In our case, a routine antenatal scan at 25 weeks revealed isolated ascites. By 31 weeks of gestation, all features of hydrops were observed in scans. However, antenatal workup for immune and non-immune hydrops was negative. Subsequently, a preterm hydropic female baby was delivered at 32 weeks. She required intubation and ventilator support. An X-ray revealed calcification in the abdomen suggestive of meconium peritonitis. Ultrasound showed gross ascites, a giant cyst compressing the inferior vena cava, and minimal bilateral pleural effusion. Emergency laparotomy revealed meconium pellets and perforation of the ileum. Double-barrel ileostomy was performed, and the edema resolved and activity improved. The baby was discharged after 3 weeks. Ileostomy closure was done at follow-up. The baby is growing well.