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Meconium plug syndrome

Case contributed by Stefan Ludwig
Diagnosis certain

Patient Data

Age: Neonate
x-ray

Plain film shows dilated bowel loops.

Fluoroscopy

Lower GI contrast study with multiple filling defects of meconium plugs.

Photo

Meconium cast which passed as the enema was performed.

Case Discussion

  • neonate with symptoms of a meconium plug syndrome

  • plain film shows dilated bowel loops

  • enema study shows microcolon with a long cylindrical filling defect in the sigmoid and descending colon

  • water-soluble contrast enema induced meconium passage

  • in the photo, a meconium cast is demonstrated, which passed as the enema was performed

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