Neonatal lower GIS obstruction with typical radiographic findings: Meconium Ileus

Abstract

Meconium ileus is a lower gastrointestinal obstruction syndrome due to the impaction of abnormally thick and sticky meconium in the terminal ileum. It is most often early manifestation of cystic fibrosis. This is a case of surgically proved meconium ileus, whose genetic profile is negative for cystic fibrosis. It is important to differentiate neonatal lower gastrointestinal obstruction and also meconium related disorders due to early treatment and better prognosis. Contrast enhanced fluoroscopic imaging is the primary and indispensable radiologic method for this purpose. We present our case with typical fluoroscopic findings of meconium ileus, along with literature review of other meconium related disorders.