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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2022, Number 2

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Bol Clin Hosp Infant Edo Son 2022; 39 (2)

Giant meconium pseudocyst with ileal atresia: Case report

Rodríguez-Garcia J, López-Cruz G, Hernández MJ, Molina-Bende JE, Pacheco-Barete CF, Luna-Angel J, López-Días PS, Juárez-Mesinas D, López-Días AV, Bravo-Torres M, Reyes-Hernández KL, Chuck-Sepúlveda JA, Reyes-Gómez U, Plazola-Camacho NG, Juárez-Campos CE

Language: Spanish
References: 20
Page: 76-80
PDF size: 198.41 Kb.


ABSTRACT

The meconium pseudocyst consists of a dilated portion of the intestine, filled with meconium. The “eggshell calcifications” are pathognomonic. Clinical case: 35-weeks- of-gestation female, weight 3460 g, head circumference 32 cm. Abdominal perimeter 41 cm. At birth with a marked abdominal distention, the radiology showed an abdominal cystic mass. At laparotomy, a giant meconium pseudocyst and ileal atresia were documented, it was removed, release of the intestinal loops and end-toend anastomosis of the ileum were performed. He also had polymicrogyria, pulmonary hypertension and atrial septal defect. She was discharged 22 days later due to improvement. The meconium pseudocyst is a differential diagnosis of cystic lesions. Intra-abdominal calcifications associated with a cystic mass may correspond to a meconium pseudocyst. The absence of a characteristic “eggshell calcifications” image does not rule out a meconium pseudocyst.


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