International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064

Downloads: 124 | Views: 241

Case Studies | Pediatrics | India | Volume 6 Issue 7, July 2017

Complicated Meconium Ileus: Case Report with Review of Literature

Dr. Anand [36] | Dr. Sreeramulu.P.N | Dr. Rahul Singh R

Abstract: Meconium ileus (MI) is a unique form of neonatal obstruction almost always associated with Cystic Fibrosis. Uncomplicated cases respond well to nonsurgical management. However, few patients develop complications in the postnatal period, requiring emergency operation. A two day old newborn presented with clinical features of low intestinal obstruction suspected to be due to meconium ileus. After resuscitation, a trial of conservative treatment, with Mucomist enemas, was attempted without success. Exploratory laparotomy revealed typical MI with midileal volvulus. Resection of the gangrenous, volvulated ileum with manual evacuation of meconium, both proximally and distally, followed by end to end anastomosis was done. Patient made uneventful recovery. Follow up tests did not reveal cystic fibrosis, the growth and development of the baby has been uneventful.

Keywords: Meconium ileus, Volvulus, Gangrene, Cystic Fibrosis

Edition: Volume 6 Issue 7, July 2017,

Pages: 82 - 84

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