Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
Newborn full term female who had a prenatal ultrasound that showed a thickened loop of bowel. An amniocentesis was performed and the fetus was diagnosed with cystic fibrosis. Upon delivery, the patient was noted to have a distended abdomen.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Cystic fibrosis with meconium ileus.
Abdominal films from the first day of life showed a distal bowel obstruction. A water soluble contrast enema from the first day of life demonstrated a microcolon, and the terminal ileum could not be refluxed.
Imaging Differential Diagnosis:
The patient was managed non operatively.
Follow-up and Prognosis:
The patient went on to have 3 therapeutic enemas, 2 with Cysto-Conray and the last with Gastrografin, over the next 48 hours. The terminal ileum was refluxed and the patient eventually passed all of the retained meconium.
Images 4, 5, and 6
Case 29, Case 46
Follow us on Twitter @pedseducation and @pedsimaging
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2015 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.