| CASE REPORT |
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| Year : 2019 | Volume
: 27
| Issue : 4 | Page : 205-207 |
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A rare case of fetal meconium peritonitis developing coagulopathy in utero
Yusuke Kobayashi, Takahiro Nakano, Nobuhiro Hidaka, Kiyoko Kato
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Correspondence Address:
Dr. Takahiro Nakano
3-1-1 Maidashi, Higashi-ku, 812-8582 Fukuoka
Japan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/JMU.JMU_25_19
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Hydrops fetalis in association with meconium peritonitis is a rare condition, and the mechanism underlying hydropic changes has not been fully recognized. We present a case of fetal meconium peritonitis with hydrops and coagulopathy. Clinically, the cause of fetal disseminated intravascular coagulation is considered to be a consequence of a systematic inflammatory response based on progressive, but mild fetal anemia without other apparent triggers, thrombocytopenia, elevated white blood cell count and serum C reactive-protein, hypoalbuminemia, and increased vascular permeability. The infant was born at 32 weeks of gestation and survived after postnatal multidisciplinary treatment. Our experience suggests that recognition of this rare condition will enable early diagnosis and better clinical management for fetuses with meconium peritonitis. |
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