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Meconium ileus

MedGen UID:
473705
Concept ID:
C2939175
Disease or Syndrome
Synonyms: Ileus, Meconium; Meconium Ileus
SNOMED CT: Meconium ileus of the newborn (86092005); Meconium ileus (206523001); Meconium obstruction (206523001)
 
Related gene: GUCY2C
 
HPO: HP:0004401
Monarch Initiative: MONDO:0054868
OMIM®: 601330; 614665

Definition

Meconium ileus refers to intestinal obstruction due to inspissated meconium in the distal ileum and cecum, which develops in utero and presents shortly after birth as a failure to pass meconium (summary by Romi et al., 2012). Meconium ileus is a known clinical manifestation of cystic fibrosis (CF; 219700), and meconium ileus in the absence of CF is a rare phenomenon (summary by Tal et al., 1985). [from OMIM]

Conditions with this feature

Cystic fibrosis
MedGen UID:
41393
Concept ID:
C0010674
Disease or Syndrome
Cystic fibrosis (CF) is a multisystem disease affecting epithelia of the respiratory tract, exocrine pancreas, intestine, hepatobiliary system, and exocrine sweat glands. Morbidities include recurrent sinusitis and bronchitis, progressive obstructive pulmonary disease with bronchiectasis, exocrine pancreatic deficiency and malnutrition, pancreatitis, gastrointestinal manifestations (meconium ileus, rectal prolapse, distal intestinal obstructive syndrome), liver disease, diabetes, male infertility due to hypoplasia or aplasia of the vas deferens, and reduced fertility or infertility in some women. Pulmonary disease is the major cause of morbidity and mortality in CF.
CYSTIC FIBROSIS, MODIFIER OF, 1
MedGen UID:
347786
Concept ID:
C1859047
Finding
Congenital myasthenic syndrome 21
MedGen UID:
934621
Concept ID:
C4310654
Disease or Syndrome
Any congenital myasthenic syndrome in which the cause of the disease is a mutation in the SLC18A3 gene.
Intestinal obstruction in the newborn due to guanylate cyclase 2C deficiency
MedGen UID:
1390359
Concept ID:
C4518781
Disease or Syndrome
An extremely rare autosomal recessive gastroenterological disorder reported in three families so far characterized by meconium ileus without any further stigmata of cystic fibrosis including pulmonary or pancreatic manifestations. Two of the reported patients developed chronic diarrhea in infancy. Homozygous mutations in the GUCY2C gene (12p12) leading to marked reduction or absence of enzymatic activity of guanylate cyclase 2C were found in the affected patients. The disease was reported to show partial penetrance.

Professional guidelines

PubMed

Tsitsiou Y, Calle-Toro JS, Zouvani A, Andronikou S
Clin Radiol 2021 Mar;76(3):163-171. Epub 2020 Oct 20 doi: 10.1016/j.crad.2020.09.016. PMID: 33097229
Raynal C, Corvol H
Arch Pediatr 2020 Feb;27 Suppl 1:eS13-eS18. doi: 10.1016/S0929-693X(20)30045-2. PMID: 32172930
Rescorla FJ, Grosfeld JL
World J Surg 1993 May-Jun;17(3):318-25. doi: 10.1007/BF01658698. PMID: 8337877

Recent clinical studies

Etiology

Ley D, Turck D
Best Pract Res Clin Gastroenterol 2022 Feb-Mar;56-57:101788. Epub 2022 Feb 24 doi: 10.1016/j.bpg.2022.101788. PMID: 35331400
Choi G, Je BK, Kim YJ
Korean J Radiol 2022 Jan;23(1):124-138. doi: 10.3348/kjr.2021.0111. PMID: 34983099Free PMC Article
Wasuwanich P, Karnsakul W
Minerva Pediatr 2020 Oct;72(5):440-447. Epub 2020 May 15 doi: 10.23736/S0026-4946.20.05895-8. PMID: 32418413
Kandasamy D, Sharma R, Gupta AK
Indian J Pediatr 2019 Sep;86(9):805-816. Epub 2019 Feb 14 doi: 10.1007/s12098-019-02877-9. PMID: 30767163
Burge D, Drewett M
Pediatr Surg Int 2004 Feb;20(2):108-10. Epub 2004 Feb 4 doi: 10.1007/s00383-003-1098-y. PMID: 14760494

Diagnosis

Choi G, Je BK, Kim YJ
Korean J Radiol 2022 Jan;23(1):124-138. doi: 10.3348/kjr.2021.0111. PMID: 34983099Free PMC Article
Raynal C, Corvol H
Arch Pediatr 2020 Feb;27 Suppl 1:eS13-eS18. doi: 10.1016/S0929-693X(20)30045-2. PMID: 32172930
Sathe M, Houwen R
J Cyst Fibros 2017 Nov;16 Suppl 2:S32-S39. doi: 10.1016/j.jcf.2017.06.007. PMID: 28986020
Stanescu AL, Liszewski MC, Lee EY, Phillips GS
Radiol Clin North Am 2017 Jul;55(4):717-739. Epub 2017 Apr 27 doi: 10.1016/j.rcl.2017.02.010. PMID: 28601177
Ziegler MM
Curr Probl Surg 1994 Sep;31(9):731-77. doi: 10.1016/0011-3840(94)90040-x. PMID: 8062591

Therapy

Silva MACPD, Miranda ML, Oliveira-Filho AG, Bustorff-Silva JM
Arq Bras Cir Dig 2023;36:e1722. Epub 2023 Mar 20 doi: 10.1590/0102-672020230002e1722. PMID: 36946847Free PMC Article
Lahiri T, Sullivan JS, Sartorelli KH, Murphy JJ
Pediatrics 2020 Oct;146(4) doi: 10.1542/peds.2019-3717. PMID: 32978295
Wasuwanich P, Karnsakul W
Minerva Pediatr 2020 Oct;72(5):440-447. Epub 2020 May 15 doi: 10.23736/S0026-4946.20.05895-8. PMID: 32418413
Lloyd-Still JD, Beno DW, Kimura RM
Curr Gastroenterol Rep 1999 Jun;1(3):231-7. doi: 10.1007/s11894-999-0040-4. PMID: 10980955
Gracey M, Burke V, Anderson CM
Arch Dis Child 1970 Aug;45(242):445-52. doi: 10.1136/adc.45.242.445. PMID: 4918706Free PMC Article

Prognosis

Ley D, Turck D
Best Pract Res Clin Gastroenterol 2022 Feb-Mar;56-57:101788. Epub 2022 Feb 24 doi: 10.1016/j.bpg.2022.101788. PMID: 35331400
Wasuwanich P, Karnsakul W
Minerva Pediatr 2020 Oct;72(5):440-447. Epub 2020 May 15 doi: 10.23736/S0026-4946.20.05895-8. PMID: 32418413
Raynal C, Corvol H
Arch Pediatr 2020 Feb;27 Suppl 1:eS13-eS18. doi: 10.1016/S0929-693X(20)30045-2. PMID: 32172930
Burge D, Drewett M
Pediatr Surg Int 2004 Feb;20(2):108-10. Epub 2004 Feb 4 doi: 10.1007/s00383-003-1098-y. PMID: 14760494
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122

Clinical prediction guides

Ley D, Turck D
Best Pract Res Clin Gastroenterol 2022 Feb-Mar;56-57:101788. Epub 2022 Feb 24 doi: 10.1016/j.bpg.2022.101788. PMID: 35331400
Bose A, Banerjee S, Visweswariah SS
IUBMB Life 2020 Jun;72(6):1145-1159. Epub 2020 Apr 15 doi: 10.1002/iub.2283. PMID: 32293781Free PMC Article
Tan SMJ, Coffey MJ, Ooi CY
J Cyst Fibros 2019 Nov;18(6):857-862. Epub 2019 Oct 28 doi: 10.1016/j.jcf.2019.09.008. PMID: 31672555
Jackson CR, Orford J, Minutillo C, Dickinson JE
Eur J Pediatr Surg 2010 May;20(3):191-3. Epub 2010 Feb 19 doi: 10.1055/s-0030-1247523. PMID: 20175047
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122

Recent systematic reviews

Yule A, Sills D, Smith S, Spiller R, Smyth AR
Expert Rev Respir Med 2023 Jul-Dec;17(7):547-561. Epub 2023 Jun 26 doi: 10.1080/17476348.2023.2228194. PMID: 37345513
Shi R, Wang X, Lu X, Zhu Z, Xu Q, Wang H, Song L, Zhu C
Pediatr Pulmonol 2020 Nov;55(11):3005-3011. Epub 2020 Jul 31 doi: 10.1002/ppul.24980. PMID: 32716133
Grosse SD, Rosenfeld M, Devine OJ, Lai HJ, Farrell PM
J Pediatr 2006 Sep;149(3):362-6. doi: 10.1016/j.jpeds.2006.04.059. PMID: 16939748

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