Large calcified intra-abdominal mass in a newborn

N Simmons, N J Shaw, G Mann, C P H Ibrahim

    Research output: Contribution to journalArticlepeer-review

    Abstract

    A 33-week infant was born to a gravida eight mother with a poor obstetric history. A late second trimester scan had shown a large intra-abdominal cyst in the fetus and polyhydramnios. The mother went into spontaneous labour at 33 weeks and a male baby was delivered by caesarean section. Soon after birth the infant was noted to have abdominal distension and bilious aspirates. A radiograph of the abdomen revealed a calcified mass suggestive of meconium pseudocyst (fig 1). Laparotomy on the second postnatal day revealed a meconium pseudocyst located between the liver, stomach and transverse colon with many adhesions. There were two perforations from the terminal ileum into the pseudocyst approximately 10 cm from the ileo-caecal valve. The cyst was excised and a split ileostomy was performed. The ileostomy was reversed and an end to end anastamosis performed a month later. The baby recovered well post-operatively and on follow-up was thriving well.
    Original languageEnglish
    Pages (from-to)163
    JournalArchives of Disease in Childhood
    Volume94
    Issue number3
    DOIs
    Publication statusPublished - May 2009

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