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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 4

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Rev Esp Med Quir 2014; 19 (4)

Conservative medical management of meconium ileus in extreme premature neonate

Domínguez-Morales J, Orozco-Chávez EG, Arce-García IE

Language: Spanish
References: 8
Page: 507-511
PDF size: 692.23 Kb.


ABSTRACT

Meconium ileus is a common cause of neonatal intestinal obstruction due to accumulation of inspissated meconium in terminal ileum and/ or colon. It is frequently present in preterm new borns and only occurs in 10-20% of cystic fibrosis patients. Clinical manifestations include vomiting, abdominal distension, palpable meconium, delayed passage of stools.
Case report: Newborn of 28.4 gestational weeks and 930 g of birth weight. At 8 days of extrauterine life presents important abdominal distention and abnormalities in stool passage. Secondary meconium ileus is diagnosed by clinical and radiographic suspicion and managed with fasting, total parenteral nutrition, antibiotics, rectal stimulation, and 5 ml/kg twice a day acetylcysteine enemas, recovering without complications after 8 days of treatment.
Conclusions: Simple meconium ileus is a frequently observed condition in preterm newborns that can be treated with twice a day acetylcysteine enemas.


REFERENCES

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