FETAL MECONIUM PERITONITIS: ULTRASOUND DIAGNOSIS AND OUTCOMES


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Abstract

Objective. To study the significance of different echographic intrauterine signs of meconium peritonitis in determining the severity of the disease and final prognosis for a neonatal infant. Subjects and methods. Thirty-four cases of meconium peritonitis diagnosed at 22-38 weeks’ gestation were analyzed. Results. The accuracy of ultrasound diagnosis was 100%>. The main echographic signs of this abnormality were hyperechogenic adhesive mass; thickening of the intestinal wall and its increased echogenicity; calcifications in the abdominal and thoracic cavities and scrotum; dilated intestinal loops; the presence of pseudocysts; ascites, adhesions, and serous fluid collection. After birth, 62.5% of the babies needed surgical treatment. Postoperative neonatal survival was 95%. Conclusion. Meconium cyst, ascites with adhesions, dilated intestinal loops with the hyperechogenic and thickened wall are the most important echographic signs necessitating postnatal surgery.

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About the authors

Natalya Valerievna Mashinets

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: natashamashinets@yandex.ru
PhD, the senior scientific worker of the department of functional diagnostics department of diagnostic imaging Moscow 117997, Ac. Oparina str. 4, Russia

Vladimir Nikolaevich Demidov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_demidov@oparina4.ru
MD, professor of the department of functional diagnostics department of diagnostic imaging. Moscow 117997, Ac. Oparina str. 4, Russia

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