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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 45-47

Meconium peritonitis in trisomy 21 masquerading as hydrops fetalis


1 Department of Neonatal and Developmental Medicine, Singapore General Hospital; Department of Paediatric Medicine, KK Women's and Children's Hospital, Singapore
2 Department of Neonatal and Developmental Medicine, Singapore General Hospital, Singapore
3 Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore
4 Department of Neonatology, KK Women's and Children's Hospital, Singapore

Correspondence Address:
Dr. Pamela Si Min Ng
Department of Neonatal and Developmental Medicine, Singapore General Hospital, Outram Rd., 169608
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.jcn_170_20

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Meconium peritonitis (MP) is a rare etiology for nonimmune hydrops fetalis. We report a neonate delivered at 32 weeks' gestation in the context of antenatally diagnosed hydrops fetalis and first-trimester screening at high risk for Trisomy 21. The postnatal abdominal radiograph was striking for gross ascites, the paucity of bowel gas, and widespread calcifications, suggestive of MP and chromosomal analysis confirmed Trisomy 21. Exploratory laparotomy performed on day 3 of life revealed a large pseudocyst, ileal atresia with ileal perforation. MP masquerading as nonimmune hydrops fetalis in Trisomy 21 with ileal atresia is an extremely rare presentation, seldom reported in the literature.


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