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Case Studies | Obstetrics and Gynecology | India | Volume 13 Issue 3, March 2024 | Rating: 5.3 / 10
A Case of Giant Cystic Meconium Peritonitis - Treatable Cause of Non - Immune Fetal Hydrops
Habung Yarang | Tomar Basar | Narang Yam
Abstract: Meconium peritonitis is defined as an aseptic localised or generalised chemical peritonitis which results from perforation of the gut in utero with reported incidence of 1 in 35, 000 live births1. It is one of the rare and treatable cause of non - immune fetal hydrops. A 28 - year G2A1 at 30 weeks 3days of gestation with non - immune fetal hydrops due to fetal meconium peritonitis. She was managed by multidisciplinary team of Obstetrician, Neonatologist and paediatric surgeon. She had spontaneous labour at 34 weeks 4 day and had a preterm delivery of female baby of birth weight 3.3 kg. Immediate intubation was done in view of respiratory distress. Exploratory laparotomy done on day 3, Intra operative findings consisted of a giant meconium cyst of 10x10 cm containing approximately 200 ml of thick there was also terminal ileal perforation which was brought out as loop stoma. Postoperatively baby was extubated. Postoperative recovery was uneventful and discharged at term equivalent postmenstrual age. Prenatal diagnosis is crucial as it helps in timing the delivery and planning for postnatal management hence improving the neonatal outcome in fetal meconium peritonitis causing non - immune hydrops.
Keywords: Non-immune hydrops (NIHF), Fetal ascites and meconium Peritonitis
Edition: Volume 13 Issue 3, March 2024,
Pages: 1746 - 1747