Meconium ileus Flashcards

1
Q

Meconium ileus

A

Thick, viscous, sticky meconium causes bowel obstruction

90% due to CF

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2
Q

Clinical features

A
Delay in passage of meconium
Reluctance to feed
Bilious bile
Discomfort
Constipation
Distended abdomen
Infection => systemic illness
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3
Q

Management

A

Stop milk feeds (can gradually reintroduce over few days)
NG tube to remove bile
IV fluids
Enema to dissolve
Surgical (bowel resection?) - temporary stoma

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