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Radiology, Vol 132, 79-82, Copyright © 1979 by Radiological Society of North America

ARTICLES

Neonatal meconium blockage in the ileum and proximal colon

MJ Siegel, GD Shackelford and WH McAlister

Three cases of premature infants with obstruction of the ileum and proximal colon in the absence of cystic fibrosis are presented. Meconium inspissation complicated low-grade bowel obstruction in 2 infants. In the third, the bowel was anatomically normal, with the tenacious meconium the apparent primary cause of obstruction. Distinguishing features of this unusual type of blockage and other meconium syndromes are also discussed. This condition may simulate necrotizing enterocolitis, requiring surgery for differentiation. It should be considered in the differential diagnosis of low small bowel or colonic obstruction in the premature infant who is several days of age.


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S. Garza-Cox, S. E. Keeney, C. A. Angel, L. L. Thompson, and L. E. Swischuk
Meconium Obstruction in the Very Low Birth Weight Premature Infant
Pediatrics, July 1, 2004; 114(1): 285 - 290.
[Abstract] [Full Text] [PDF]


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