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Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book [Internet]. Cham (CH): Springer; 2018. doi: 10.1007/978-3-319-75019-4_15

Cover of Diseases of the Abdomen and Pelvis 2018-2021

Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book [Internet].

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Fig. 15.5. Meconium ileus represents obstruction of the distal ileum by viscous, impacted meconium pellets.

Fig. 15.5

Meconium ileus represents obstruction of the distal ileum by viscous, impacted meconium pellets. There is a high association with cystic fibrosis (presenting symptom in 15% of neonates with CF). (a) Fluoroscopic contrast enema demonstrates contrast opacification of a “microcolon” (unused colon due to proximal obstruction). Contrast has refluxed into the distal ileum (arrowheads) and outlines numerous impacted meconium pellets. (b) Abdominal radiograph demonstrates punctate calcifications scattered throughout the abdomen, suggestive of meconium peritonitis which can occur with intestinal atresias as well as meconium ileus, and results from perforation of meconium-containing bowel

From: Chapter 15, The Pediatric Gastrointestinal Tract: What Every Radiologist Needs to Know

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