Megacystis microcolon intestinal hypoperistalsis syndrome presenting as acute intestinal obstruction in 4-days male neonate: A rare case report

Abstract

A B S T R A C TWe report a case of megacystis microcolon intestinal hypoperistalsis syndrome in a 4-days old male neonate. The patient presented with abdominal distension due to intestinal obstruction and massive enlargement of the urinary bladder and was misdiagnosed as the mesenteric cyst on ultrasonography abdomen. The aim of this report is to highlight the fact that due to the rarity of this syndrome, it can be missed in the emergency room and a high index of suspicion should be kept for timely intervention.

Megacystis-microcolon-intestinal hypoperistalsis syndrome associated with cystic fibrosis and meconium peritonitis in a female neonate 4 days of age – case report and review of the literature

“…Newborns with MMIHS present in the first days of life with abdominal distention, bilious emesis, failure to pass meconium and voiding problems which are similar to the clinical features in neonates with intestinal obstruction [ 10 ]. If non obstructive distention of the urinary bladder, microcolon and hypoperistalsis of the intestines present together, as in our case, it steers the physician and radiologist to the diagnosis of MMIHS [ 3 , 10 ]. Prognosis of MMIHS is very poor, most of these patients survive with an average life expectancy of 3.6 months, nevertheless some case reports document prolonged survival rate [ 6 , 11 – 13 ].…”