- Etiology: extreme immaturity of the bowel prevents passage of meconium
- AXR: distal small bowel obstruction
- Enema: normal caliber colon with multiple plugs of meconium seen in the colon and small bowel
- Complications: intestinal perforation
- Treatment: high osmolar water soluble contrast enema (diluted 1 part contrast: 2 parts sodium chloride) which must be refluxed above dilated loops of small bowel in order to be successful
- Clinical: seen in extremely premature infants, will have passed only a little meconium, not associated with cystic fibrosis
Radiology Cases of Meconium Obstruction of Prematurity
