Edwin Dias1*, Shwetha P N2, Vinod Prem Singh3 and Kiran Raj H4
1Professor and HOD, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India
2Junior Resident, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India
3Professor, Department of Pediatric Surgery, Srinivas Institute of Medical Science and Research Centre, Mangalore, India
4Assistant Professor, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India
*Corresponding Author: Edwin Dias, Professor and HOD, Department of Pediatrics, Srinivas Institute of Medical Science and Research Centre, Mangalore, India.
Received: April 06, 2021; Published: April 19, 2021
Introduction: Meconium plug syndrome is most commonly seen in sick, premature infants and those having small left colon. Incidence of meconium plug syndrome ranges from 0.5-1 case per 500 live-births. Clinically, presents with inability to pass meconium, distended abdomen, vomiting.
Objective: To report a case of meconium plug syndrome in a Small for Gestational Age (SGA), preterm baby.
Clinical Case: The case to be presented is of a SGA, preterm boy baby who had presented at 24 hours of life with abdominal distension and not passed meconium since birth. Abdominal x-ray suggestive of dilated bowel loops with no air fluid levels.
Treated by suppository and rectal thermometer passed cautiously at 72 hours of life, following which thick gelatinous mucoid material -meconium plug was expelled out.
On day 4 of life, baby still did not pass meconium. Hence, nasogastric tube was inserted per rectally and bowel wash was given. About 30ml of meconium was aspirated. Abdominal distension gradually reduced. On day 5 of life, baby passed about 5ml of well-formed meconium followed by normal passage of meconium.
Conclusion: Meconium plug can be relieved by glycerin suppository. Rectal irrigation with pre-warmed 0.9% normal saline may also help in relieving meconium plug. Contrast enema helps in delineating the meconium plug as well as to relieve obstruction, therefore acts as both diagnostic and therapeutic tool. The overall outcome of the baby for the treatment provided was positive and child improved symptomatically.
Keywords: Meconium Plug Syndrome; Hirschsprung’s Disease; Cystic Fibrosis; Glycerin Suppository; Contrast Enema
Citation: Edwin Dias., et al. “A Case Report of Meconium Plug Syndrome with Intestinal Obstruction in a SGA, Preterm 34 Week Gestation Baby". Acta Scientific Paediatrics 4.5 (2021): 29-33.×
Copyright: © 2021 Edwin Dias., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.