태반성 복막염

Abstract

An autopsy case of meconium peritonitis in a neonate is reported. This patient was born to a 37 year old multigravid woman after an uncomplicated prenatal course. Because of breech presentation a cesarian section was elected to deliver an edematous female baby weighing 3.1 kg. who showed also abdominal distension. The patient died of respiratory difficulty 5 minutes after birth. At autopsy there was a large cyst found in the middle of the abdominal cavity. This 6 X 5 X 4cm round cyst (Fig. 1&2) was bound by intestinal loops. liver capsule. omentum and spleen capsule. and was containing yellow brown fluid and calcium flakes. Scattered ealcium deposits were also seen in the serosa of the rest of the abdominal cavity. However. no areas of bowel perforation or stenosis were demonstrated. Associated anomalies were right side Bochdalek hernia of the diaphragm with herniation of the liver. and bilateral lung hypoplasia, multifocal white matter calcification of brain and persistent hyaloid arteries of both eyeballs.