Meconium ileus Flashcards
1
Q
What is meconium ileus?
A
Failure to pass the first stool in neonates (meconium usually passes in the first 24–48 hours after birth)
2
Q
What are the causes of meconium ileus?
A
Cystic fibrosis (> 90%)
3
Q
What are the clinical features of meconium ileus?
A
Distal small bowel obstruction
Bilious vomiting
Abdominal distention
No passage of meconium
4
Q
How is meconium ileus diagnosed?
A
(Abdominal x-ray with contrast agent) Dilated small bowel loops, ‘soap bubble effect’
5
Q
What is the treatment for meconium ileus?
A
(Enema with a contrast agent)
(Surgery) Complex cases involving volvulus or perforation
