Microcolon occurs as a result of lack of passage of bowel contents distal to the obstruction.Figure 2.34. The opacity in the right lower quadrant represents die soft tissue shadow of the umbilical cord.
Abdominal radiograph of an infant with the meconium plug syndrome. At this early age, the infant also has a scaphoid lower Figure 2.22.
Note that there is no intestinal continuity and the proximal jejunum is approximately five times the size of the colon.Figure 2.32. Barium enema of the same infant as in Figure 2.39 showing the gross dilatation of the large bowel proximal to the short aganglionic segment.Figure 2.41. Note the large distended loop of bowel in the radiograph on the left.
This infant has atresia of the colon. The true meconium plug occurs later in gestation.
Note the large dilated loops of bowel. windsock deformity. The very circular lucency seen in the right abdomen represents the hole in the incubator.Figure 2.24. This occurs because of lack of bile formation early in gestation. The upright radiograph on the right demonstrates air/fluid levels due to the obstruction. (Singleton, E., Wagner, M.)Figure 2.35.
A mucous plug fomis earlier in gestation and is gray to greenish in appearance. Differential diagnosis of abdominal distention at birth includes ascites due to multiple causes, meconium peritonitis, and abdominal masses.
Radiographic appearance of jejunal atresia showing the typical "triple bubble."
Note the markedly dilated loops of bowel, particularly the transverse and descending colon.
Note the diffuse calcifications in the peritoneal cavity. “Epidemic” vs. “Pandemic” vs. “Endemic”: What Do These Terms Mean?All Of These Words Are Offensive (But Only Sometimes)Stop Using These Phrases in 2020 (Use These Synonyms Instead)Absentee Ballot vs. Mail-In Ballot: Is There A Difference?“Affect” vs. “Effect”: Use The Correct Word Every TimeIt’d be a real faux pas to miss this quiz on the words from August 3–9, 2020!to waver in mind or opinion; be indecisive or irresolute.Dictionary.com Unabridged With passage of the plug, die mucous portion of die plug appears first because it develops earlier.Figure 2.49. This condition is commonly seen in infants of diabetic mothers. Note the opacification of the bowel lumen with relative paucity of air because of the presence of a large amount of inspissated meconium. Meconium plugs have also been reported in infants born to mothers treated with magnesium sulfate for toxemia of pregnancy.Figure 2.49.
This is an artifact as the radiograph was taken through die top of the incubator. 2.24.
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Barium enema in the same infant as in Figure 2.32, showing a typical microcolon. Note the Figure 2.28. This infant has atresia of the colon. Oblique view of the barium study in the same infant as in Figures 2.39 and 2.40 better demonstrates the aganglionic segment.Figure 2.43. Radiograph of an infant with a duodenal web and Figure 2.25. Classical “Windsock deformity” is associated with ruptured aneurysmal sinus of Valsalva.
This would suggest the presence of an obstruction in the distal part of the large bowel.Figure 2.48.
Management of this condition is nonoperative, with slow enteral feedings and total parenteral nutrition support until the colon dilates to a more functional size.Figure 2.44. The classic association is with either perforation and meconium ileus or perforation with bowel atresia. Note the large dilated colon proximal to the atresia. American Heritage® Dictionary of the English Language, Fifth Edition. noun a tapered, tubular cloth vane, open at both ends and having at the larger end a fixed ring pivoted to swing freely, installed at airports or elsewhere to indicate wind direction and approximate intensity.
Barium enema in an infant with a normal colon.
With passage of the plug, die mucous portion of die plug appears first because it develops earlier.Figure 2.51.
Lateral view of the same infant as in Figure 2.53 with meconium peritonitis.
The upright radiograph on the right demonstrates air/fluid levels due to the obstruction. Also called air sock, wind cone, wind sleeve. A mucous plug fomis earlier in gestation and is gray to greenish in appearance. Differential diagnosis includes atresia of the colon and Figure 2.33. The true meconium plug occurs later in gestation. Radiographs of an infant with abdominal distention as a result of meconium ileus. (Singleton, E., Wagner, M.)Figure 2.36.
The same infant as in Figure 2.47, after a gentle saline enema, passed a large meconium plug.
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