Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)

Ovsyanikov Philipp Andreevich; Ryabokon Nikita Romanovich; Bairov Vladimir Gireyevich; Sukhotskaya Anna Andreevna; Zazerskaya Irina Evgenievna; Korolev Mikhail Vladimirovich

doi:doi:10.11648/j.ajp.20210704.16

Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)

Ovsyanikov Philipp Andreevich, Ryabokon Nikita Romanovich, Bairov Vladimir Gireyevich, Sukhotskaya Anna Andreevna, Zazerskaya Irina Evgenievna, Korolev Mikhail Vladimirovich

Published in American Journal of Pediatrics (Volume 7, Issue 4)

Received: 11 September 2021 Accepted: 29 September 2021 Published: 27 November 2021

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Abstract

This article describes a clinical case of management of a pregnant woman with meconium peritonitis of the fetus and further observation and treatment of the child. Meconium peritonitis, being aseptic intrauterine peritonitis, is a serious disease that requires an integrated approach. The tactics in relation to the fetus, intrauterine risks and prognosis of survival in this pathology, as well as the possibility of choosing a method for correcting meconium peritonitis and its complications during pregnancy and after childbirth are discussed. With meconium peritonitis, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatally to take measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, an assessment was made of the possibility of reducing the risks of life-threatening complications, depending on the clinical course of peritonitis. Due to the appearance of ultrasound criteria of severity (meconium ascites, compression of the chest cavity of the fetus, dropsy and polyhydramnios), it became possible to predict the course of development of meconium peritonitis. The stages of pregnancy, childbirth and the neonatal period are described in detail, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.

Published in	American Journal of Pediatrics (Volume 7, Issue 4)
DOI	10.11648/j.ajp.20210704.16
Page(s)	211-218
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Meconium Peritonitis, Pregnancy, Amniolaparocentesis

References

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[2]	Cerise E. J., Whitehead W. Meconium peritonitis. Am Surg. 1969; 35: 389.
[3]	Wang C. N., Chang S. D., Chao A. S., et al. Meconium peritonitis in determining neonatal outcome. Taiwan J ObstetGynecol. 2008; 47 (4): p. 391–6.
[4]	Nam, S. H., S. C. Kim, D. Kim, et al. Experience with meconium peritonitis. Journal of pediatric surgery. 2007; 42. 11: p. 1822-5.
[5]	Lorimer W. S. Jr, Ellis D. G. Meconium peritonitis. Surgery. 1966 Aug; 60 (2): р. 470-5. PMID: 5920370.
[6]	Ein SH, Shandling B, Reilly BJ, Stephens CA. Bowel perforation with nonoperative treatment of meconium ileus. J Pediatr Surg. 1987; 22 (2): 146-147. doi: 10.1016/s0022-3468(87)80434-7.
[7]	Nemilova T. K., Karavaeva S. A., Ignatiev E. M. Meconium peritonitis: modern interpretation, diagnosis, tactics, treatment. Bulletin of surgery named after I. I. Grekov Vestnik hirurgii imeni I. I. Grekova. 2012; 171 (4): 108-11. (in Russian).
[8]	Wang Y., Wu Y., Guan W., et al. Meconium peritonitis due to fetal appendiceal perforation: two case reports and a brief review of the literature. BMC Pediatr. 2018 May 11; 18 (1): 162. doi: 10.1186/s12887-018-1133- Review. ubMed PMID: 29751786; PubMed Central PMCID: PMC5948796.
[9]	Karavaeva SA, Ignatiev EM, Kotin AN, et al. Meconium peritonitis in children with duodenal atresia. Neonatology, surgery and perinatal medicine. Neonatologiya, hirurgiya i perinatal'naya medicina. 2012; 2 (4): 120-123. (in Russian).
[10]	McDuffie RS Jr, Bader T. Fetal meconium peritonitis after maternal hepatitis A. Am J Obstet Gynecol. 1999 Apr; 180 (4): 1031-2. doi: 10.1016/s0002-9378(99)70678-2. PMID: 10203675.
[11]	Shinmoto, H., Kuribayashi, S. MRI of fetal abdominal abnormalities. Abdom Imaging 28, 877–886 (2003). https://doi.org/10.1007/s00261-003-0047-5.
[12]	Gupta P, Sharma R, Kumar S, Gadodia A, Roy KK, Malhotra N, Sharma JB. Role of MRI in fetal abdominal cystic masses detected on prenatal sonography. Arch Gynecol Obstet. 2010 Mar; 281 (3): 519-26. doi: 10.1007/s00404-009-1190-1. Epub 2009 Aug 12. PMID: 19672611.
[13]	Zangheri G, Andreani M, Ciriello E, Urban G, Incerti M, Vergani P. Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 2007 Oct; 27 (10): 960-3. doi: 10.1002/pd.1812. PMID: 17654754.
[14]	Pelizzo G, Codrich D, Zennaro F, Dell'oste C, Maso G, D'Ottavio G, Schleef J. Prenatal detection of the cystic form of meconium peritonitis: no issues for delayed postnatal surgery. Pediatr Surg Int. 2008 Sep; 24 (9): 1061-5. doi: 10.1007/s00383-008-2194-9. Epub 2008 Jul 31. PMID: 18668257.
[15]	Nam S. H., Kim S. C., Kim D. Y. et al. Experience with meconium peritonitis. J. Pediatric Surgery. 2007 Nov; 42 (11): 1822-5, DOI: https://doi.org/10.1016/j.jpedsurg.2007.07.006.
[16]	Hibi M., Shimotake T., Iwai N. Combined esophageal and duodenal atresia complicated with meconium peritonitis. Pediatr. Surg. Int. 2003 Oct; 19 (7): 564-5 DOI: 10.1007/s00383-002-0946-5.

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Ovsyanikov Philipp Andreevich, Ryabokon Nikita Romanovich, Bairov Vladimir Gireyevich, Sukhotskaya Anna Andreevna, Zazerskaya Irina Evgenievna, et al. (2021). Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). American Journal of Pediatrics, 7(4), 211-218. https://doi.org/10.11648/j.ajp.20210704.16

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ACS Style

Ovsyanikov Philipp Andreevich; Ryabokon Nikita Romanovich; Bairov Vladimir Gireyevich; Sukhotskaya Anna Andreevna; Zazerskaya Irina Evgenievna, et al. Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). Am. J. Pediatr. 2021, 7(4), 211-218. doi: 10.11648/j.ajp.20210704.16

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AMA Style

Ovsyanikov Philipp Andreevich, Ryabokon Nikita Romanovich, Bairov Vladimir Gireyevich, Sukhotskaya Anna Andreevna, Zazerskaya Irina Evgenievna, et al. Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). Am J Pediatr. 2021;7(4):211-218. doi: 10.11648/j.ajp.20210704.16

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@article{10.11648/j.ajp.20210704.16,
  author = {Ovsyanikov Philipp Andreevich and Ryabokon Nikita Romanovich and Bairov Vladimir Gireyevich and Sukhotskaya Anna Andreevna and Zazerskaya Irina Evgenievna and Korolev Mikhail Vladimirovich},
  title = {Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)},
  journal = {American Journal of Pediatrics},
  volume = {7},
  number = {4},
  pages = {211-218},
  doi = {10.11648/j.ajp.20210704.16},
  url = {https://doi.org/10.11648/j.ajp.20210704.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210704.16},
  abstract = {This article describes a clinical case of management of a pregnant woman with meconium peritonitis of the fetus and further observation and treatment of the child. Meconium peritonitis, being aseptic intrauterine peritonitis, is a serious disease that requires an integrated approach. The tactics in relation to the fetus, intrauterine risks and prognosis of survival in this pathology, as well as the possibility of choosing a method for correcting meconium peritonitis and its complications during pregnancy and after childbirth are discussed. With meconium peritonitis, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatally to take measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, an assessment was made of the possibility of reducing the risks of life-threatening complications, depending on the clinical course of peritonitis. Due to the appearance of ultrasound criteria of severity (meconium ascites, compression of the chest cavity of the fetus, dropsy and polyhydramnios), it became possible to predict the course of development of meconium peritonitis. The stages of pregnancy, childbirth and the neonatal period are described in detail, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.},
 year = {2021}
}

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TY  - JOUR
T1  - Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)
AU  - Ovsyanikov Philipp Andreevich
AU  - Ryabokon Nikita Romanovich
AU  - Bairov Vladimir Gireyevich
AU  - Sukhotskaya Anna Andreevna
AU  - Zazerskaya Irina Evgenievna
AU  - Korolev Mikhail Vladimirovich
Y1  - 2021/11/27
PY  - 2021
N1  - https://doi.org/10.11648/j.ajp.20210704.16
DO  - 10.11648/j.ajp.20210704.16
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 211
EP  - 218
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20210704.16
AB  - This article describes a clinical case of management of a pregnant woman with meconium peritonitis of the fetus and further observation and treatment of the child. Meconium peritonitis, being aseptic intrauterine peritonitis, is a serious disease that requires an integrated approach. The tactics in relation to the fetus, intrauterine risks and prognosis of survival in this pathology, as well as the possibility of choosing a method for correcting meconium peritonitis and its complications during pregnancy and after childbirth are discussed. With meconium peritonitis, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatally to take measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, an assessment was made of the possibility of reducing the risks of life-threatening complications, depending on the clinical course of peritonitis. Due to the appearance of ultrasound criteria of severity (meconium ascites, compression of the chest cavity of the fetus, dropsy and polyhydramnios), it became possible to predict the course of development of meconium peritonitis. The stages of pregnancy, childbirth and the neonatal period are described in detail, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.
VL  - 7
IS  - 4
ER  -

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Author Information

Ovsyanikov Philipp Andreevich

Department of Obstetrics and Gynecology, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia
Ryabokon Nikita Romanovich

Department of Obstetrics and Gynecology, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia
Bairov Vladimir Gireyevich

Research Laboratory of Surgery for Congenital and Hereditary Pathology, Department of Surgical Diseases, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia
Sukhotskaya Anna Andreevna

Department of Pediatric Surgery of Malformations and Acquired Pathology for Newborns and Infants, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia
Zazerskaya Irina Evgenievna

Department of Obstetrics and Gynecology, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia
Korolev Mikhail Vladimirovich

Department of Obstetrics and Gynecology, Almazov National Medical Research Centre, Ministry of Health, St. Petersburg, Russia

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APA Style

Ovsyanikov Philipp Andreevich, Ryabokon Nikita Romanovich, Bairov Vladimir Gireyevich, Sukhotskaya Anna Andreevna, Zazerskaya Irina Evgenievna, et al. (2021). Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). American Journal of Pediatrics, 7(4), 211-218. https://doi.org/10.11648/j.ajp.20210704.16

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ACS Style

Ovsyanikov Philipp Andreevich; Ryabokon Nikita Romanovich; Bairov Vladimir Gireyevich; Sukhotskaya Anna Andreevna; Zazerskaya Irina Evgenievna, et al. Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). Am. J. Pediatr. 2021, 7(4), 211-218. doi: 10.11648/j.ajp.20210704.16

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AMA Style

Ovsyanikov Philipp Andreevich, Ryabokon Nikita Romanovich, Bairov Vladimir Gireyevich, Sukhotskaya Anna Andreevna, Zazerskaya Irina Evgenievna, et al. Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case). Am J Pediatr. 2021;7(4):211-218. doi: 10.11648/j.ajp.20210704.16

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@article{10.11648/j.ajp.20210704.16,
  author = {Ovsyanikov Philipp Andreevich and Ryabokon Nikita Romanovich and Bairov Vladimir Gireyevich and Sukhotskaya Anna Andreevna and Zazerskaya Irina Evgenievna and Korolev Mikhail Vladimirovich},
  title = {Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)},
  journal = {American Journal of Pediatrics},
  volume = {7},
  number = {4},
  pages = {211-218},
  doi = {10.11648/j.ajp.20210704.16},
  url = {https://doi.org/10.11648/j.ajp.20210704.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210704.16},
  abstract = {This article describes a clinical case of management of a pregnant woman with meconium peritonitis of the fetus and further observation and treatment of the child. Meconium peritonitis, being aseptic intrauterine peritonitis, is a serious disease that requires an integrated approach. The tactics in relation to the fetus, intrauterine risks and prognosis of survival in this pathology, as well as the possibility of choosing a method for correcting meconium peritonitis and its complications during pregnancy and after childbirth are discussed. With meconium peritonitis, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatally to take measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, an assessment was made of the possibility of reducing the risks of life-threatening complications, depending on the clinical course of peritonitis. Due to the appearance of ultrasound criteria of severity (meconium ascites, compression of the chest cavity of the fetus, dropsy and polyhydramnios), it became possible to predict the course of development of meconium peritonitis. The stages of pregnancy, childbirth and the neonatal period are described in detail, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.},
 year = {2021}
}

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TY  - JOUR
T1  - Method of Correction of Meconium Peritonite and Its Complications During Pregnancy and After Birth (Clinical Case)
AU  - Ovsyanikov Philipp Andreevich
AU  - Ryabokon Nikita Romanovich
AU  - Bairov Vladimir Gireyevich
AU  - Sukhotskaya Anna Andreevna
AU  - Zazerskaya Irina Evgenievna
AU  - Korolev Mikhail Vladimirovich
Y1  - 2021/11/27
PY  - 2021
N1  - https://doi.org/10.11648/j.ajp.20210704.16
DO  - 10.11648/j.ajp.20210704.16
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 211
EP  - 218
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20210704.16
AB  - This article describes a clinical case of management of a pregnant woman with meconium peritonitis of the fetus and further observation and treatment of the child. Meconium peritonitis, being aseptic intrauterine peritonitis, is a serious disease that requires an integrated approach. The tactics in relation to the fetus, intrauterine risks and prognosis of survival in this pathology, as well as the possibility of choosing a method for correcting meconium peritonitis and its complications during pregnancy and after childbirth are discussed. With meconium peritonitis, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatally to take measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, an assessment was made of the possibility of reducing the risks of life-threatening complications, depending on the clinical course of peritonitis. Due to the appearance of ultrasound criteria of severity (meconium ascites, compression of the chest cavity of the fetus, dropsy and polyhydramnios), it became possible to predict the course of development of meconium peritonitis. The stages of pregnancy, childbirth and the neonatal period are described in detail, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.
VL  - 7
IS  - 4
ER  -

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