Peritonite meconial relacionada à doença hepática materna: relato de caso

Abstract

Meconium peritonitis has been associated with cystic fibrosis, congenital infections, and bowel disease. A growing number of reports have also associated it with maternal liver disease. This report describes the case of a preterm newborn with meconium peritonitis born from a woman with liver disease and presents a review of the literature on the subject. A male preterm newborn weighing 2595g was admitted to the Neonatal Intermediate Care Unit due to an obstetric ultrasound scan performed at 31 weeks and 3 days of gestation showing calcifications of various sizes throughout his abdomen. His mother had autoimmune hepatitis and sclerosing cholangitis. Postnatal abdominal x-ray images showed calcifications in the liver and right paracolic gutter and abdomen ultrasound scans showed large peritoneal calcifications in the hepatic and splenic capsules and in the pouch of Morrison, in addition to calcifications in the right scrotum.