Clinical observation of meconium peritonitis.

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Clinical observation of meconium peritonitis. Abstract Text:

C H Hsu,L W Jen,F Y Huang,M R Chen,H A Kao,W Y Ho,M L Yeh,P Y Chang,

Twenty cases of meconium peritonitis were found between September 1980 and March 1988 at Mackay Memorial Hospital. The male to female ratio was 1.5 to 1. Six of the 20 cases involved premature babies. The great majority presented symptoms and signs before 5 days old, but one case was not diagnosed until 13 months of age. Polyhydramnios of the mother was found in six cases (30%). Abdominal distension was the universal symptom in all 20 cases. Hydrocele was noticed in 8 of the 12 male babies. In seven cases (35%) radiological examination showed abdominal calcifications. All patients underwent surgical intervention. Peritonitis was of cystic type in seven cases (35%); fibroadhesive in nine cases (45%); generalized in four cases (20%). Evident intestinal perforation was noted in 13 patients, and a mechanical obstructive lesion was found in 9 cases (45%) including intestinal diaphragm, atresia, volvulus, and Hirschsprung's disease. In only two patients (10%) was neither evident perforation nor obstructive lesion. The overall mortality rate was 30% (6/20), with no mortality after 1986 (0/6). The mortality seemed increased in those associated with perforation (4/13) and midgut volvulus (2/2) in particular, compared with non-perforation cases (1/7). It appears that early aggressive operation, and meticulous postoperative care, have contributed to the higher survival rate in recent years.

Clinical observation of meconium peritonitis. Publishing Authors By Initials

CH Hsu,LW Jen,FY Huang,MR Chen,HA Kao,WY Ho,ML Yeh,PY Chang,

For similar digestive system diseases: peritoneal diseases: peritonitis research abstracts see: digestive system diseases: peritoneal diseases: peritonitis research

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Clinical observation of meconium peritonitis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhonghua Minguo xiao er ke yi xue hui za zhi [Jour

VOLUME: 31

Page Numbers: 214-20

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ISSN: 0001-6578

DAY: 12

MONTH: 02

YEAR: 2008

Clinical observation of meconium peritonitis. Information

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LANGUAGE: eng

NlmUniqueID: 16210470

Clinical observation of meconium peritonitis. Keywords Mesh Terms:

KEYWORDS: Peritonitis

MESH TERMS: radiography

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Grant and Affiliation Information for Clinical observation of meconium peritonitis.

AFFILIATION: Department of Pediatrics and Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.

Country: TAIWAN

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MEDLINETA: Zhonghua Min Guo Xiao Er Ke Yi

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