2017, Number 4
Anales de Radiología México 2017; 16 (4)
López-Amézquita M, Solórzano-Morales SA, Córdova-Flores M, Frías-Mantilla JE, Rojas-Maruri M, Martínez-Balderas K, López-Candiani C
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ABSTRACTMeconium pseudocyst is an intestinal dilation of meconial content with smooth muscle in the wall connecting it to the proximal loop causing intestinal blockage. Prenatal ultrasound and postnatal image studies permit an accurate differential diagnosis. Histopathological confirmation is fundamental, by showing smooth muscle in the cyst wall. Clinical case: neonate with prenatal ultrasound (37 weeks’ gestation) with abdominal cystic image. At birth, globose abdomen, without evacuations; meconium pseudocyst was diagnosed by x-ray, ultrasound, and abdominal tomography. The aim of this publication is to differentiate between meconium pseudocyst and cystic meconium peritonitis. Timely surgery improves the prognosis.