Journal of the Formosan Medical Association
Volume 106, Issue 6 , Pages 495-498, 2007

Meckel's Diverticulum Induced Intrauterine Intussusception Associated with Ileal Atresia Complicated by Meconium Peritonitis

  • Chien-Heng Lin

      Affiliations

    • Department of Pediatrics, Jen-Ai Hospital, Tali, Taiwan
    • ,
  • Shu-Fen Wu

      Affiliations

    • Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Shu-Fen Wu, Department of Pediatrics, China Medical University Hospital, 2 Yuh-Der Road, Taichung 404, Taiwan
    • ,
  • Wei-Ching Lin

      Affiliations

    • Department of Radiology, China Medical University Hospital, Taichung, Taiwan
    • ,
  • An-Chyi Chen

      Affiliations

    • Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan

Received 17 July 2006; received in revised form 12 September 2006; accepted 5 December 2006.

Article Outline

Intrauterine intussusception with a leading point of Meckel's diverticulum is a rare cause of ileal atresia, which may cause bowel obstruction and perforation. We report such a case complicated by meconium peritonitis. The fetal ultrasonogram revealed ascites, dilated bowel loops and intra-abdominal calcification at a gestational age of 30 weeks. The patient was delivered at 37 weeks and laparotomy was performed to manage the intestinal obstruction. The operative findings showed that Meckel's diverticulum had induced intussusception associated with the ileal atresia with meconium peritonitis. The ileum was resected with end-to-end anastomosis. The postoperative course was uneventful. In this patient, ascites and intraperitoneal calcification were caused by ileal atresia, which may have been induced by intrauterine intussusception.

Key Words:  fetal ascites , ileal atresia , intrauterine intussusception , Meckel's diverticulum

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PII: S0929-6646(09)60300-4

doi:10.1016/S0929-6646(09)60300-4

Journal of the Formosan Medical Association
Volume 106, Issue 6 , Pages 495-498, 2007

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