72 • PERINATOLOGY Vol 24 • No. 1 • May–Aug 2023 not conclude with this recommendation. However, we believe that pregnant women should be referred to a multispecialty center in early stages for better management of neonates by an experienced multidisciplinary team. It is worth highlighting the surgical technique that can give good results—the initial evaluation allows for damage control with the help of ostomies and subsequent management, including complementary imaging studies. This surgical method could be an option for premature neonates, highly unstable neonates, neonates with severe adherence syndrome, or neonates with unclear intestinal viability. References 1. Shinar S, et al. Fetal meconium peritonitis - prenatal findings and postnatal outcome: a case series, systematic review, and meta-analysis. Ultraschall Med. 2022;43(2):194–203. 2. Gutierrez LS, Flokrans MR, Rodrıguez Ingelmo JM. Prenatal diagnosis in meconium peritonitis. Prog Obstet Ginecol. 2014;57(4):140–143. 3. Chen CW, et al. Value of prenatal diagnosis of meconium peritonitis. Medicine (Baltimore). 2019;98(39):e17079. 4. Voekt CA, et al. Ultrasound indications for maternal STORCH testing in pregnancy. Swiss Med Wkly. 2017;147:w14534. 5. Bieth E, et al. Genetic counseling for cystic fibrosis: a basic model with new challenges. Arch Pediatr. 2020;27(Suppl 1):eS30–eS34. 6. Lahiri T, et al. Delayed presentation of meconium ileus in an infant with cystic fibrosis. Pediatrics. 2020;146(4):e20193717. 7. Mesa TC. Cystic fibrosis: more frequent mutations in world population. Rev Cubana Invest Bioméd. 2008;27(2):1–10. 8. Feng Y, et al. Predicting poor outcomes and the need for surgical treatment in neonates with meconium peritonitis. Prenat Diagn. 2020;40(3):351–357. 9. Lu Y, et al. Fetal magnetic resonance imaging contributes to the diagnosis and treatment of meconium peritonitis. BMC Med Imaging. 2020;20:55. 10. Dirkes K, et al. The natural history of meconium peritonitis diagnosed in utero. J Pediatr Surg. 1995;30(7):979–982. 11. Zangheri G, et al. Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery. Prenat Diagn. 2007;27(10):960–963. 12. Shyu MK, et al. Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis. Fetal Diagn Ther. 2003;18(4):255–261. 13. Caro-Dominguez P, et al. Meconium peritonitis: the role of postnatal radiographic and sonographic findings in predicting the need for surgery. Pediatr Radiol. 2018;48(12):1755–1762. 14. Ionescu S, et al. Postnatal treatment in antenatally diagnosed meconium peritonitis. Chirurgia (Bucur). 2015;110(6):538–544. 15. Ping LM, et al. Meconium peritonitis: correlation of antenatal diagnosis and postnatal outcome—an institutional experience over 10 years. Fetal Diagn Ther. 2017;42(1):57–62. 16. Santulli TV. Meconium Ileus. Kansas City, MO: Nueva Editorial Interamericana SA; 1980:395–413. 17. Minato M, et al. Meconium pseudocyst with particular pathologic findings: a case report and review of the literature. J Pediatr Surg. 2012;47(4):e9–e12. 18. Sathe M, Houwen R. Meconium ileus in cystic fibrosis. J Cyst Fibros. 2017;16(Suppl 2):S32–S39. 19. Dominguez J, Orozco E, Arce-Garcia I. Conservative medical management of meconium ileus in extreme premature neonate. Méd Quir. 2014;19:507–511. 20. Carlyle BE, Borowitz DS, Glick PL. A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon. J Pediatr Surg. 2012;47(4):772–781. 21. Chouikh T, et al. Prenatal intestinal volvulus: look for cystic fibrosis. BMJ Case Rep. 2016;2016:bcr2016217003. Authors’ Affiliations Dr Maria Paula Alvarez Saenz, Fellow - Pediatric Critical Care; Dr Delia Theurel Martin, Pediatric Neonatologist (Unit of Neonatology); Dr Jorge Luis Alvarado Socarras, Pediatric Neonatologist (Unit of Neonatology), Department of Pediatrics; Dr Juan Pablo Otoya Castrillon, Pediatric Surgeon, Department of Pediatric Surgery; Dr Edwin Medina Medina, Medical Pathologist, Department of Pathology, Universidad de Santander, Fundacion Cardiovascular de Colombia, Street 155A No. 23-58, Floridablanca 680003, Santander, Colombia; Dr Crisar Guerrero Quiroz, Pediatric Intensive Care, Department of Pediatrics, Clinica Magdalena, Calle 50 No. 24-37, Barrancabermeja, Santander, Colombia Alvarez Saenz MP, et al. Meconium Peritonitis Case Report
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