A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report
Congenital intra-abdominal masses can stem from various etiologies. However, the differential diagnoses in the presence of meconium peritonitis are primarily narrow to gastrointestinal disorders such as cystic fibrosis, Hirschsprung’s disease, and colonic atresia. Additionally, literature has docume...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-07-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X251359725 |
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| author | Lydia L. Figueroa Maisonet Isabel Mayorga Zayhara Reyes Bou Juan Anibal Rivera González Víctor N. Ortiz Justiniano Inés Garcia Garcia |
| author_facet | Lydia L. Figueroa Maisonet Isabel Mayorga Zayhara Reyes Bou Juan Anibal Rivera González Víctor N. Ortiz Justiniano Inés Garcia Garcia |
| author_sort | Lydia L. Figueroa Maisonet |
| collection | DOAJ |
| description | Congenital intra-abdominal masses can stem from various etiologies. However, the differential diagnoses in the presence of meconium peritonitis are primarily narrow to gastrointestinal disorders such as cystic fibrosis, Hirschsprung’s disease, and colonic atresia. Additionally, literature has documented rare associations, including maternal hepatitis A infection. We present a case of a premature female infant born via cesarean section to a 25-year-old mother with adequate prenatal care. The mother had a history of flu-like symptoms and diarrhea during the first trimester and routine third-trimester pelvic sonogram findings raised concerns for fetal bowel obstruction or a pelvic mass accompanied by polyhydramnios. The infant presented with a rare occurrence of meconium peritonitis associated with maternal hepatitis A infection. This case is presented to engage and intrigue the medical community. In addition, it suggests that intrauterine exposure to the hepatitis A virus may contribute to fetal intra-abdominal vascular accidents, causing meconium peritonitis. |
| format | Article |
| id | doaj-art-81f0baf2eb4e4a9b9aef50c281f414d5 |
| institution | DOAJ |
| issn | 2050-313X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj-art-81f0baf2eb4e4a9b9aef50c281f414d52025-08-20T03:14:10ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-07-011310.1177/2050313X251359725A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case reportLydia L. Figueroa Maisonet0Isabel Mayorga1Zayhara Reyes Bou2Juan Anibal Rivera González3Víctor N. Ortiz Justiniano4Inés Garcia Garcia5Medical Sciences Campus, School of Medicine, Pediatrics Department, Neonatology Section, University of Puerto Rico, San Juan, Puerto RicoMedical Sciences Campus, School of Medicine, Surgery Department, University of Puerto Rico, San Juan, Puerto RicoMedical Sciences Campus, School of Medicine, Pediatrics Department, Neonatology Section, University of Puerto Rico, San Juan, Puerto RicoMedical Sciences Campus, School of Medicine, Pediatrics Department, Neonatology Section, University of Puerto Rico, San Juan, Puerto RicoMedical Sciences Campus, School of Medicine, Surgery Department, University of Puerto Rico, San Juan, Puerto RicoMedical Sciences Campus, School of Medicine, Pediatrics Department, Neonatology Section, University of Puerto Rico, San Juan, Puerto RicoCongenital intra-abdominal masses can stem from various etiologies. However, the differential diagnoses in the presence of meconium peritonitis are primarily narrow to gastrointestinal disorders such as cystic fibrosis, Hirschsprung’s disease, and colonic atresia. Additionally, literature has documented rare associations, including maternal hepatitis A infection. We present a case of a premature female infant born via cesarean section to a 25-year-old mother with adequate prenatal care. The mother had a history of flu-like symptoms and diarrhea during the first trimester and routine third-trimester pelvic sonogram findings raised concerns for fetal bowel obstruction or a pelvic mass accompanied by polyhydramnios. The infant presented with a rare occurrence of meconium peritonitis associated with maternal hepatitis A infection. This case is presented to engage and intrigue the medical community. In addition, it suggests that intrauterine exposure to the hepatitis A virus may contribute to fetal intra-abdominal vascular accidents, causing meconium peritonitis.https://doi.org/10.1177/2050313X251359725 |
| spellingShingle | Lydia L. Figueroa Maisonet Isabel Mayorga Zayhara Reyes Bou Juan Anibal Rivera González Víctor N. Ortiz Justiniano Inés Garcia Garcia A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report SAGE Open Medical Case Reports |
| title | A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report |
| title_full | A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report |
| title_fullStr | A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report |
| title_full_unstemmed | A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report |
| title_short | A neonate with meconium peritonitis, first-trimester hepatitis A affected pregnancy: A case report |
| title_sort | neonate with meconium peritonitis first trimester hepatitis a affected pregnancy a case report |
| url | https://doi.org/10.1177/2050313X251359725 |
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