Mekoniumpfropfsyndrom

(Syndrome of the small left colon)

When Mekoniumpfropfsyndrom is a closure of the colon by thickened meconium.

The Mekoniumpfropfsyndrom usually occurs in healthy children, but is found more often in premature babies, children of mothers with diabetes or preeclampsia who were treated with magnesium sulfate. In general, it is considered as a functional immaturity of the colon, resulting in a lack of Mekoniumabgangs.

When Mekoniumpfropfsyndrom is a closure of the colon by thickened meconium. The Mekoniumpfropfsyndrom usually occurs in healthy children, but is found more often in premature babies, children of mothers with diabetes or preeclampsia who were treated with magnesium sulfate. In general, it is considered as a functional immaturity of the colon, resulting in a lack of Mekoniumabgangs. Symptoms and signs The children show in the first days constipation, abdominal distension and vomiting. Thick, hardened, tough meconium can fill the colon and leads to complete closure. Diagnostic Radiological contrast enema Sometimes tests on Hirschsprung’s disease, the diagnosis is a diagnosis of exclusion and should be defined primarily by Hirschsprung’s disease (Hirschsprung’s disease). Simple radiographs of the abdomen are nonspecific and may show signs of mild intestinal obstruction. Conversely, a contrast enema shows the characteristic appearance of the contour of the thickened meconium against the wall of the large intestine and thus enables a doubled contrast image. Unlike the meconium no microcolon be seen with Mekoniumpfropf syndrome in the radiograph typically. Therapy Radiological contrast enema The water-soluble contrast enema may be therapeutic by the graft of the intestinal wall is separated and rinsed. Occasionally repeated enemas are necessary. Rarely surgical treatment is necessary. Although most infants then are perfectly healthy, diagnostic studies are indicated to exclude Hirschsprung’s disease or cystic fibrosis.

Health Life Media Team

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