The meconium plug
was squeezed out, and the involved small bowel was resected.
Hirschsprung's disease, cystic fibrosis, meconium plug
syndrome, necrotizing enterocolitis and vascular insufficiency (cardiac or respiratory disease) are documented risk factors for appendicitis.
Plain film diagnosis in meconium plug
syndrome, meconium ileus and neonatal Hirschsprung's disease.
In addition, contrast enema can also be ordered and will show the outline of the meconium plug
. In some newborns, other means may be used to encourage passage of the meconium plug
The clinical course was similar in both cases; the infants were referred to intensive care units soon after birth with suspected meconium plug
The underlying etiology is bowel obstruction due to atresia of the bowel, mal rotation with volvulus, intussusception, congenital bands or meconium plug
syndrome as seen in cystic fibrosis.
Inspissated meconium plugs
in distal bowel were washed out with warm saline.