Meconium ileus refers to bowel obstruction that occurs due to the presence of thicker then normal meconium. This condition is most often seen in patients with cystic fibrosis.
WHAT MAKES US SUSPECT IT?
Initial Presentation: this condition will present in newborns
- Vomiting (often bilious)
- Failure to pass meconium
- Distended firm abdomen
- Normal sphincter tone
- Absence of stool in the rectal vault.
Contrast enema is the preferred modality used to diagnose meconium ileus. Findings can include a microcolon as well as a clear obstruction.
WHAT ELSE ARE WE WORRIED ABOUT?
Cystic fibrosis: while not all patients with cystic fibrosis will have a meconium ileus, almost all patients with meconium ileus will carry the diagnosis of cystic fibrosis.
ARCHIVE OF STANDARDIZED EXAM QUESTIONS
This archive compiles standardized exam questions that relate to this topic.
Page Updated: 11.22.2016