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Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis |
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| Authors: | Christian Piolat Jean N’Die Pierre Andrini Mark Althuser Pierre-Simon Jouk Catherine Jacquier Jean-François Dyon |
| Affiliation: | (1) Pediatric Surgical Unit, University Hospital, Grenoble, France;(2) Neonatal Intensive Care Unit, University Hospital, Grenoble, France;(3) Pluridisciplinary Center of Prenatal Diagnosis, University Hospital, Grenoble, France;(4) Service de Chirurgie Pédiatrique Générale (Pr JF. DYON), Centre Hospitalier Universitaire de Grenoble, BP 217, 38043 Grenoble, Cedex 09, France |
| Abstract: | The transverse colon is an exceptional location of intestinal duplication. Perforated duplications are rarely described in neonates. Meconium peritonitis (MP) can originate from prenatal perforated intestinal duplication. The authors report a case of a baby girl with prenatal diagnosis of MP. Rapid worsening of clinical aspects at birth and the presence of a pneumoperitoneum on systematic abdominal plain radiographs led to urgent surgery on the 1st day of life. Laparotomy showed a perforated necrotizing tubular duplication of the transverse colon. Removal of the duplication followed by limited segmental colonic resection and double colostomy were carried out. Follow-up was uneventful. |
| Keywords: | Colonic duplication Meconium peritonitis Prenatal diagnosis |
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