Abstract
In meconium ileus, the meconium is abnormal, thick, and tenacious leading to obstruction in the terminal ileum. Meconium ileus is often associated with cystic fibrosis and can be amenable to nonoperative management with saline, contrast or N-acetylcysteine enema, but requires surgical intervention if such measures fail. The clinical features, diagnosis and management are discussed.
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Further Reading
Carlyle BE, Borowitz DS, Glick PL. A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon. J Pediatr Surg. 2012;47(4):772–81.
Dirkes K, Crombleholme TM, Craigo SD, Latchaw LA, Jacir NN, Harris BH, et al. The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 1995;30(7):979–82.
Fitzgerald R, Conlon K. Use of the appendix stump in the treatment of meconium ileus. J Pediatr Surg. 1989;24(9):899–900.
Harberg FJ, Senekjian EK, Pokorny WJ. Treatment of uncomplicated meconium ileus via T-tube ileostomy. J Pediatr Surg. 1981;16(1):61–3.
Jawaheer J, Khalil B, Plummer T, Bianchi A, Morecroft J, Rakoczy G, et al. Primary resection and anastomosis for complicated meconium ileus: a safe procedure? Pediatr Surg Int. 2007;23(11):1091–3.
Karimi A, Gorter RR, Sleeboom C, Kneepkens CM, Heij HA. Issues in the management of simple and complex meconium ileus. Pediatr Surg Int. 2011;27(9):963–8.
Nam SH, Kim SC, Kim DY. et-al. Experience with meconium peritonitis. J Pediatr Surg. 2007;42(11):1822–5.
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Al-Salem, A.H. (2020). Meconium Ileus. In: Atlas of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-29211-9_53
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DOI: https://doi.org/10.1007/978-3-030-29211-9_53
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