Peritonitis meconial pseudoquística por atresia intestinal perforada. Reporte de un caso

• Autores: Cabrera Valerio, Carlos Manuel, González, Niurka, Moreno Reyes, Andreina, García Risk, Ariadna, Madera, Noelia
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/220
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/220
• Nivel de acceso: acceso abierto

Meconium peritonitis secondary to intestinal perforation is a feared complication of intestinal atresia, since it increases perinatal morbidity and mortality. Although it is still a rare presentation, its diagnosis must be made early to avoid complications. This case presents a clinical case of a 38-week-old newborn with no prenatal history indicative of intestinal obstruction who presents bilious / fecaloid vomiting, no meconization at 12 hours of extrauterine life, for which a standing and lying abdominal X-ray is performed showing marked distension of the intestinal loops, absence of distal air, interloop edema. An exploratory laparotomy and jejunostomy are performed to later re-intervene (second look), finding improvement in intestinal loops and achieving a jejunal-ileal end-to-end anastomosis. Early operation can be considered an important factor to improve the outcome of patients with meconium peritonitis, in the same way an early diagnosis is needed.