Bile-stained amniotic fluid: A case report

被引：3

作者：

Puvabanditsin S. ^{[1
]}

Chen C.W. ^{[1
]}

Vinod S. ^{[1
]}

Mehta M.S. ^{[2
]}

Choudry O. ^{[1
]}

Walzer L. ^{[1
]}

机构：

[1] Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, One Robert Wood Johnson Place, New Brunswick, 08903, NJ

[2] College of Arts and Sciences, Boston University, Boston

来源：

Journal of Medical Case Reports | / 11卷 / 1期

关键词：

Amniotic fluid; Bile-stained amniotic fluid; Intestinal obstruction; Neonate;

D O I：

10.1186/s13256-017-1419-8

中图分类号：

学科分类号：

摘要：

Background: Green-stained amniotic fluid does not always indicate that meconium was passed in utero. Case presentation: We report the case of a 2280-g Hispanic preterm female born at 32 weeks of gestation with congenital jejunal atresia. The amniotic fluid was greenish stained; the initial impression was meconium-stained amniotic fluid. Postnatal findings revealed no meconium in her rectum. The content of her first stool appeared sticky and white. Conclusion: In the absence of meconium in the rectum, the pediatrician should consider the possibility that the greenish amniotic fluid is not meconium stained, but rather stained with bile due to the fetus vomiting in utero secondary to intestinal obstruction. © 2017 The Author(s).

引用

共 16 条

[1]

Shrand H., Vomiting in utero with intestinal atresia, Pediatrics, 49, pp. 767-768, (1972)

[2]

Desmond M.M., Moore J., Lindley J.E., Brown C.B., Meconium staining of the amniotic fluid. A marker of fetal hypoxia, Obstet Gynecol, 9, pp. 91-103, (1957)

[3]

Kaplan C., Placental pathology for the nineties, Pathol Annu, 28, pp. 15-72, (1993)

[4]

Grand R.J., Watkins J.B., Torti F.M., Development of the human gastrointestinal tract, Gastroenterology, 70, pp. 790-810, (1976)

[5]

Kimble R.M., Trudenger B., Cass D., Fetal defecation: Is it a normal physiological process?, J Paediatr Child Health, 35, pp. 116-119, (1999)

[6]

Abramovitch D.R., Gray E.S., Physiological fetal defecation in mid pregnancy, Obstet Gynecol, 60, pp. 294-296, (1982)

[7]

Daw E., Golden liquor amnii, Lancet, 1, 7794, (1973)

[8]

Williams J., Zakut H., Cohen D., Nissan S., Meconium-like staining of amniotic fluid due to high fetal intestinal obstruction. Case report, Br J Obstet Gynaecol, 85, pp. 713-714, (1978)

[9]

Griffiths D.M., Burge D.M., When is meconium-stained liquor actually bile-stained vomit?, Arch Dis Child, 63, pp. 201-202, (1988)

[10]

Archer N., When is meconium-stained liquor actually bile-stained vomit?, Arch Dis Child, 63, (1988)

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