PDF(Pubmed)
Abstract：
A meconium pseudocyst is formed following meconium peritonitis. At present, antenatal diagnosis and planned management of meconium pseudocyst have reduced the mortality rate significantly. We presented a case of a neonate with abdominal distension and non-passage of meconium who experienced respiratory distress and was taken for exploratory laparotomy at a tertiary care center due to suspected bowel perforation. The neonate was diagnosed with a meconium pseudocyst intraoperatively as maternal ultrasound and ultrasound of the abdomen of the neonate after birth failed to make a definitive diagnosis; even an X-ray abdomen did not reveal pathognomonic egg-shell calcification. An interesting aspect of this case is the mother\'s complex obstetric history, which compelled us to conjecture whether it was possible to predict the chances of meconium peritonitis and take steps to prevent it. It must be noted that, despite rigorous research, the researchers could not find reliable literature co-relating the obstetric history of the mother with the formation of a meconium pseudocyst in the neonate.
摘要：
胎粪腹膜炎后形成胎粪假性囊肿。目前,胎粪假性囊肿的产前诊断和计划管理显着降低了死亡率。我们介绍了一例腹胀和胎粪不通过的新生儿，该新生儿经历了呼吸窘迫，并因怀疑肠穿孔而在三级护理中心进行剖腹探查。新生儿在术中被诊断为胎粪假性囊肿，因为母亲的超声和出生后的新生儿腹部超声未能做出明确的诊断；即使是X射线腹部也没有发现病理性的蛋壳钙化。这个案例的一个有趣的方面是母亲的复杂产科史，这迫使我们猜测是否有可能预测胎粪腹膜炎的几率，并采取措施预防它。必须指出,尽管进行了严格的研究，研究人员没有找到可靠的文献将母亲的产科史与新生儿胎粪假性囊肿的形成联系起来.
