태변성 복막염 15예의 임상적 고찰
Meconium Peritonitis 15 Cases Studies
김강석, 박흥규, 박연호, 민승기, 조승연, 이운기, 이영돈,
소속 상세정보
김강석 ( Kim Kang-Seok )
가천의과학대학교 길병원 일반외과학교실
박흥규 ( Park Heung-Kyu )
가천의과학대학교 길병원 외과학교실
박연호 ( Park Yeon-Ho )
가천의과학대학교 길병원 외과학교실
민승기 ( Min Seung-Ki )
가천의과학대학교 길병원 외과학교실
조승연 ( Cho Seung-Yeon )
가천의과학대학교 길병원 외과학교실
이운기 ( Lee Woon-Ki )
가천의과학대학교 길병원 외과학교실
이영돈 ( Lee Young-Don )
가천의과학대학교 길병원 외과학교실
KMID : 0371320020620010077
Abstract
Purpose : Meconium peritonitis is a form of aseptic, chemical peritonitis that results from a perforation of the gut during the intrauterine or perinatal period. The rarity of the disease resulted in few survivors up to the 1950’s.
However,
the
constantly increasing survival rate has followed an aggressive surgical management, along with a more thorough understanding of the etiological and pathological variations likely to be encountered. This study was performed to analyze our past 10
years’
experience with meconium peritonitis.
Methods : The hospital records of 15 patients treated between January 1991 to December 2000 were retrospectively reviewed.
Results : The male to female sex ratio was 2：1, and the age at surgery varied from at the time of birth to 48 days. The clinical manifestations included marked abdominal distension (13 cases), respiratory distress (8 cases), billous
vomiting (5
cases) and scrotal swelling (1 case). Radiological findings included air-fluid level (7 cases), calcification (4 cases) and pneumoperitoneum (3 cases). The prenatal ultrasonography demonstrated dilated loops of bowel, septated fetal ascites and
calcification. The leading cause of perforation was small bowel atresia (8 cases). A primary end-to-end anastomosis was performed in 10 cases. Generalized type (8 cases) was the most common finding of meconium peritonitis. 86% of patients
survived
without long-term complications.
Conclusion : Early recognition and proper management offer the greatest opportunity for survival in cases of meconium peritonitis.
키워드
태변성 복막염; 산전 초음파; 소장폐쇄; Meconium peritonitis; Prenatal ultrasonography; Small bowel atresia;
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