Abstract
Eleven cases of neonatal intestinal obstruction associated with a white ileal meconium plug are described; 6 of these presented with complications--such as, giant meconium pseudocyst, perforation, volvulus, or atresia. Most of these complications are presumed to have arisen during the intrauterine period. Only one patient could be relieved of the ileal meconium plug by enemas. The condition of ileal meconium plug is not as benign as a meconium plug in the rectum or distal colon. A plea is made to restrict the name meconium plug syndrome to cases in which the meconium plug is white and chalky and the consequent intestinal obstruction can be relieved by enemas, without evidence of intestinal dysfunction in later life.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- CLATWORTHY H. W., Jr, HOWARD W. H., LLOYD J. The meconium plug syndrome. Surgery. 1956 Jan;39(1):131–142. [PubMed] [Google Scholar]
- EMERY J. L. Abnormalities in meconium of the foetus and newborn. Arch Dis Child. 1957 Feb;32(161):17–21. doi: 10.1136/adc.32.161.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- RACK F. J., CROUCH W. L. Functional intestinal obstruction in the premature newborn infant. J Pediatr. 1952 May;40(5):579–583. doi: 10.1016/s0022-3476(52)80149-0. [DOI] [PubMed] [Google Scholar]
- RICKHAM P. P., BOECKMAN C. R. NEONATAL MECONIUM OBSTRUCTION IN THE ABSENCE OF MUCOVISCIDOSIS. Am J Surg. 1965 Feb;109:173–177. [PubMed] [Google Scholar]
- Talwalker V. C. Aganglionosis of the entire bowel. J Pediatr Surg. 1976 Apr;11(2):213–216. doi: 10.1016/0022-3468(76)90290-6. [DOI] [PubMed] [Google Scholar]
- Van Leeuwen G., Glenn L., Woodruff C., Riley W. C. Meconium plug syndrome with aganglionosis. Pediatrics. 1967 Oct;40(4):665–666. [PubMed] [Google Scholar]
- ZACHARY R. B. Meconium and faecal plugs in the newborn. Arch Dis Child. 1957 Feb;32(161):22–24. doi: 10.1136/adc.32.161.22. [DOI] [PMC free article] [PubMed] [Google Scholar]