The Indian Journal of Pediatrics

, Volume 67, Issue 11, pp 845–846 | Cite as

Idiopathic origin of meconium peritonitis

  • Nutan Agarwal
  • Alka Kriplani
  • Neerja Bhatla
  • Ashok K. Deorari
Clinical Brief


A 26-year-old, gravida 3 presented at 31 weeks of gestation with polyhydramnios. On ultrasound there was marked foetal ascitis with unilateral hydrocele. Patient delivered a 3.15 kg, large-for-date baby at 33 weeks and 3 days of gestation. On basis of clinical, radiological and sonographic features, diagnosis of meconium peritonitis was made. Ascitic tapping was done. Surgery was with held, as there were no signs of intestinal obstruction. DNA testing for cystic fibrosis was negative. Baby did not deteriorate so he was discharged. Baby was doing well on 2 months follow up. Hydrocele and ascitis were resolving. Rarely meconium peritonitis may occur without an underlying cause when peritonitis may be innocuous and intervention may not be required.


Meconium peritonitis Fetal ascitis 


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Copyright information

© Dr. K C Chaudhuri Foundation 2000

Authors and Affiliations

  • Nutan Agarwal
    • 2
  • Alka Kriplani
    • 2
  • Neerja Bhatla
    • 2
  • Ashok K. Deorari
    • 1
    • 2
  1. 1.Department of PediatricsAll India Institute of Medical SciencesNew Delhi
  2. 2.Department of Obstetrics & GynaecologyAll India Institute of Medical SciencesNew Delhi

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