Meconium Ileus

When meconium ileus is a closure of the terminal ileum through extremely tough meconium; it occurs mostly in newborns with cystic fibrosis. The meconium ileus accounts for almost 33% of the small intestine closures in newborns. The first signs are vomiting and sometimes bile-like, one abdominal distension and the inability to excrete the meconium. Diagnosis is based on clinical manifestations and X-ray images. The treatment is performed by contrast enema and fluoroscopy, on failure by surgical intervention.

Meconium usually represents an early form of cystic fibrosis (Cystic Fibrosis), which makes the intestinal secretions very tough and can stick to the wall. These secretions are in 10-25% of cases, clinical manifestations of cystic fibrosis.

When meconium ileus is a closure of the terminal ileum through extremely tough meconium; it occurs mostly in newborns with cystic fibrosis. The meconium ileus accounts for almost 33% of the small intestine closures in newborns. The first signs are vomiting and sometimes bile-like, one abdominal distension and the inability to excrete the meconium. Diagnosis is based on clinical manifestations and X-ray images. The treatment is performed by contrast enema and fluoroscopy, on failure by surgical intervention. Meconium usually represents an early form of cystic fibrosis (Cystic Fibrosis), which makes the intestinal secretions very tough and can stick to the wall. These secretions are in 10-25% of cases, clinical manifestations of cystic fibrosis. The intestinal obstruction occurs at the level of the terminal ileum (in contrast to colonic obstruction when Mekoniumpfropfsyndrom- Mekoniumpfropfsyndrom) and can be diagnosed during prenatal ultrasound. Distal to the obstruction of the colon is narrow and contains small Mekoniumsteine. The pretty empty colon low expansion is also called microcolon. Complications Approximately 50% of the cases extends complications due to a rich Malrotation (Malrotation of the intestine), Darmatresie or perforation. The enlarged bowel loops can be twisted in utero and form a volvulus. When the colon is no longer supplied through its vessels, it can cause a heart attack and a sterile meconium peritonitis. The infarcted intestinal loop may be resorbed, leaving behind one or more atresia. Symptoms Unlike normal newborns have newborns with meconium ileus not meconium within the first 12 to 24 hours of life. You have signs of intestinal obstruction, including bilious vomiting and abdominal distention. Billowing small bowel loops can be felt through the abdominal wall sometimes and feel doughy. Meconium peritonitis can occur with dyspnea and ascites occur following perforation. Diagnostic X-rays If positive tests for cystic fibrosis Prenatal ultrasonography can show changes in the uterus and indicate cystic fibrosis and meconium ileus, but these changes are not specific. The diagnosis must be suspected in newborns with Ileuszeichen, especially if the family history is positive for cystic fibrosis. Patients should receive Abdomenleeraufnahmen showing expanded bowel loops. However, liquid level are often not present. The so-called. Soap bubble or glass stopper phenomenon caused by mixing of small air bubbles with meconium and is diagnostic of a meconium ileus. In the presence of meconium can see calcified Mekoniumflecken on the surface of the peritoneum, and possibly also in the scrotum. A barium enema is a microcolon with a closure in the terminal ileum. If a meconium ileus diagnosed in a patient, it should be tested for cystic fibrosis (Cystic Fibrosis: Diagnosis). Treatment radiological contrast enema Occasionally Operation The ileus can in uncomplicated cases (for example, no perforation, no Darmverschlingung or atresia.) Are fixed during fluoroscopy by ? 1 enemas with diluted contrast agents and N-acetylcysteine; hypertonic contrast media cause a large intestinal water loss and make an intravenous rehydration necessary. If the drains do not solve the obstruction, laparotomy is required. A double-barreled ileostomy with repeated N-Acetylcysteinspülungen both the proximal and distal loop usually proves necessary to liquefy the abnormal meconium and remove.

Health Life Media Team

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