Antenatal diagnosis of fetal meconium peritonitis and decreased postnatal morbidity
- Abdul Majid Wani1,
- Najwa Bantan2,
- Waleed Mohd Hussain1,
- Mohamad Ibrahim Fatani1,
- Firdous Shiekh1,
- Mubeena Akhtar1
- 1Hera General Hospital, Medicine, 4A/201, Makkah, 21955, Saudi Arabia
- 2Maternity Hospital, Makkah, 21955, Saudi Arabia
- Abdul Majid Wani, dr_wani_majid{at}yahoo.co.in
- Published 26 June 2009
A pregnant 28-year-old woman presented in the 34th week of gestation for a disproportionate increase in her abdominal size as compared to her previous pregnancy. The patient’s antenatal check-up was regular and routine antenatal screening for hepatitis and toxoplasmosis, rubella, cytomegalovirus and herpes (TORCH) were negative. There was no Rh/ABO blood type incompatibility. The patient denied any febrile illness in the past 8 months. Examination revealed a distended abdomen with multiple fetal parts and ultrasonography confirmed a twin pregnancy, with one of the fetuses having marked ascites (fig 1) with radiological features of meconium peritonitis. The patient was hospitalised and a paediatric surgeon was informed. After induction of labour, twins of gestational age 34 weeks were delivered.
Prenatal ultrasound showing fetal ascites.
Fetus 1 was a normal boy, weight 2 …
