Meconium ileus Simple
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Simple Explanation Meconium Ileus
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Meconium ileus Simple
- 1. MECONIUM ILEUS Mohd Fazrul. 122854
- 2. • Neonatal intestinal obstruction secondary to • Meconium within the lumen of the bowel that has become thickened INCIDENCE can occur in approximately 20% of patients with cystic fibrosis RISK FACTORS 1. Family history of • cystic fibrosis • meconium ileus 2. low birth weight PATHOGENESIS 1. Accumulated thickened meconium leads to obstruction in the bowel lumen resulting in • dilation of the proximal ileum wall and • narrowing of the distal intestine
- 3. PRESENTATION • Symptoms • failure to rectally pass meconium • Physical exam • abdominal distension • palpable bowel loops • may have visible peristaltic waves DIFFERENTIAL DIAGNOSIS 1. Intestinal atresia 2. Hirschsprung disease 3. Volvulu
- 5. TREATMENT 1. Non-operative Hyperosmolar enema (e.g., Gastrografin) indication • this is a non-operative approach to treat meconium ileus as this leads to breakdown of the thickened meconium which clears the obstruction • this is typically performed in simple meconium ileus but can be used in complicated meconium ileus 2. Operative Resection with enterostomy or primary anastomosis indication • can be used in cases of simple meconium ileus that does not clear with hyperosmolar enema • this is typically performed in complicated meconium ileus
- 6. REFERENCE