A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst

Authors

  • Jih Huei Tan Sultanah Aminah Hospital
  • Henry Chor Lip Tan Sultanah Aminah Hospital
  • Zi Qin Ng St John of God Midland Public & Private Hospital
  • Najua Ramli Sultanah Aminah Hospital
  • V Muthualhagi A/P Vellusamy Sultanah Aminah Hospital

DOI:

https://doi.org/10.21699/jns.v7i4.809

Keywords:

Meconium peritonitis, Pseudocyst, Midgut volvulus

Abstract

Fetal meconium peritonitis (MP) is a rare occurrence. Neonate that survives this rare condition is likely to form a meconium pseudocyst. Hereby, we present a case of a 33-year-old pregnant woman that presented with premature rupture of membranes at 34 weeks of gestation. Antenatal ultrasonography at 33 weeks revealed abnormal dilated bowel within the viable fetus. An emergency Cesarean section was performed and a baby boy was delivered at 34 weeks. Physical examination of the baby at birth revealed a palpable central abdominal mass. Lower gastrointestinal contrast imaging revealed a non-opacified dilated proximal small bowel and opacified collapsed distal small bowels and colon. A laparotomy was carried out and revealed MP with pseudocyst formation due to a midgut volvulus. Interestingly, meconium contamination was confined due to associated atretic small bowel which occurred secondary to the volvulus.

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Author Biographies

Jih Huei Tan, Sultanah Aminah Hospital

General Surgery

Henry Chor Lip Tan, Sultanah Aminah Hospital

General Surgery

Zi Qin Ng, St John of God Midland Public & Private Hospital

General Surgery

Najua Ramli, Sultanah Aminah Hospital

Paediatric Surgery

V Muthualhagi A/P Vellusamy, Sultanah Aminah Hospital

Paediatric Surgery

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Published

2018-10-06

How to Cite

1.
Tan JH, Tan HCL, Ng ZQ, Ramli N, A/P Vellusamy VM. A Rare Association of Small Bowel Atresia and In-Utero Midgut Volvulus Presenting as Fetal Meconium Pseudocyst. J Neonatal Surg [Internet]. 2018Oct.6 [cited 2022Jan.22];7(4):48. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/400