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Journal of the Korean Society of Neonatology 2007;14(2):258-262.
Published online November 1, 2007.
Meconium Obstruction Syndrome in Two Extremely Low Birth Weight Infants.
Hye Seon Kang, Kyung Chan Lee, Sung Shin Kim, Mee Yong Shin, Jae Ock Park, Chang Hwi Kim
Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon Hospital, Korea. kimss@schbc.ac.kr
Meconium Obstruction Syndrome in Two Extremely Low Birth Weight Infants
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Abstract
Ileal obstruction by meconium in premature and low birth weight infants is an unique clinical entity, and it is differentiated from other types of meconium obstruction not associated with cystic fibrosis. Markedly premature infants may present with intestinal obstruction symptoms resembling those of necrotizing enterocolitis, and perforation secondary to inspissated meconium. Between 2001 and 2006, two extremely low birth weight infants were treated for intestinal obstruction secondary to inspissated meconium. They were successfully treated with gastrografin enemas. Prompt diagnosis and appropriate management resulted in a beneficial patient outcome.
Key Words: Meconium obstruction, Extremely low birth weight infant


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