Meconium Ileus: A New Roentgen Sign

White, Harvey

doi:10.1148/66.4.567

Cited by 31 publications

(2 citation statements)

References 9 publications

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“…In general, the main presenting symptom in newborns with MI is intestinal obstruction with failure to pass meconium in the first 24 to 48 hours after birth. Differentiation between simple and complex MI can be difficult, although in the latter plain abdominal x-ray may reveal marked air-fluid levels or intraabdominal calcifications (1,(9)(10)(11).…”

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confidence: 99%

Clinical and Genetic Characteristics of Meconium Ileus in Newborns With and Without Cystic Fibrosis

Gorter

Karimi²,

Sleeboom

et al. 2010

J. pediatr. gastroenterol. nutr.

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The present study compares the clinical presentation and diagnostic features of meconium ileus (MI) in newborns with and without cystic fibrosis (CF). A retrospective study of 43 patients treated in the Pediatric Surgical Center of Amsterdam was performed. Twenty-three of the patients (53.5%) were diagnosed as having CF. Complex MI was significantly more frequent in patients without CF, and these patients had lower gestational ages and birth weights than patients with CF. All of the patients with complex MI had homozygous DF508 mutations, whereas the patients with simple MI also had other mutations. None of the patients with other mutations had complex MI. Therefore, we conclude that the clinical entity of MI represents a spectrum of underlying pathologies.

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confidence: 99%

Clinical and Genetic Characteristics of Meconium Ileus in Newborns With and Without Cystic Fibrosis

Gorter

Karimi²,

Sleeboom

et al. 2010

J. pediatr. gastroenterol. nutr.

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“…(2) 'Multiple fluid levels' is a characteristic radiographic feature of all intestinal obstructions except meconium ileus. [7] The conspicuous absence of this sign in this neonate adds more credence to the diagnosis of meconium ileus. (3) Decision on further imaging vs surgical exploration should be based on clinical features.…”

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confidence: 83%

Coexistence of ‘Friemann-Dahl sign’ and ‘Neuhauser’s sign’ in a newborn: A diagnostic dilemma

Raveenthiran

2022

J Neonatal Surg

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Friemann-Dahl sign is the radiological appearance of three dense lines in the abdomen converging towards the left iliac fossa. It is caused by the apposing walls of the twisted sigmoid colon (sigmoid volvulus). [1] This appearance is also variously known as the 'omega sign', 'bent inner-tube sign', 'horse-shoe sign', 'convergence sign', or 'coffee-bean sign'. Neuhauser's sign is a soap-bubble like appearance in the right iliac fossa. It is caused by tiny air bubbles entrapped within the viscid meconium of cystic fibrosis. [2] Originally this sign was considered pathognomonic of meconium ileus; but subsequently, it was also reported in necrotizing enterocolitis, Hirschsprung disease, and anal stenosis. [3,4] Concomitance of both the Friemann-Dahl's sign and the Neuhauser's sign in a neonate caused a diagnostic dilemma.

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