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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

Davenport M
J Pediatr Surg 2021 Aug;56(8):1293. Epub 2021 Feb 24 doi: 10.1016/j.jpedsurg.2021.02.048. PMID: 33745742
Colombo C, Ellemunter H, Houwen R, Munck A, Taylor C, Wilschanski M; ECFS
J Cyst Fibros 2011 Jun;10 Suppl 2:S24-8. doi: 10.1016/S1569-1993(11)60005-2. PMID: 21658638
Kalayoglu M, Sieber WK, Rodnan JB, Kiesewetter WB
J Pediatr Surg 1971 Jun;6(3):290-300. doi: 10.1016/0022-3468(71)90470-2. PMID: 4932660

Recent clinical studies

Etiology

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
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
Colombo C, Ellemunter H, Houwen R, Munck A, Taylor C, Wilschanski M; ECFS
J Cyst Fibros 2011 Jun;10 Suppl 2:S24-8. doi: 10.1016/S1569-1993(11)60005-2. PMID: 21658638
Nasir GA, Rahma S, Kadim AH
East Mediterr Health J 2000 Jan;6(1):187-93. PMID: 11370333
Khoshoo V, Udall JN Jr
Am J Gastroenterol 1994 Feb;89(2):153-7. PMID: 8304294

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
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
Veyrac C, Baud C, Prodhomme O, Saguintaah M, Couture A
Pediatr Radiol 2012 Jan;42 Suppl 1:S107-14. Epub 2012 Mar 6 doi: 10.1007/s00247-011-2173-5. PMID: 22395723
Colombo C, Ellemunter H, Houwen R, Munck A, Taylor C, Wilschanski M; ECFS
J Cyst Fibros 2011 Jun;10 Suppl 2:S24-8. doi: 10.1016/S1569-1993(11)60005-2. PMID: 21658638
Ziegler MM
Curr Probl Surg 1994 Sep;31(9):731-77. doi: 10.1016/0011-3840(94)90040-x. PMID: 8062591

Therapy

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
Weller PH, Williams J
J R Soc Med 1986;79 Suppl 12(Suppl 12):36-7. PMID: 3723546Free PMC Article
Shariatzadeh AN, Enderle FJ, Fitzgerald JF, Klatte EC, Jesseph JE
Surg Gynecol Obstet 1973 Feb;136(2):234-6. PMID: 4686766
Kalayoglu M, Sieber WK, Rodnan JB, Kiesewetter WB
J Pediatr Surg 1971 Jun;6(3):290-300. doi: 10.1016/0022-3468(71)90470-2. PMID: 4932660

Prognosis

Nasir GA, Rahma S, Kadim AH
East Mediterr Health J 2000 Jan;6(1):187-93. PMID: 11370333
Voldsgaard P, Kryger-Baggesen N, Lisse I
Acta Paediatr 1994 Jul;83(7):791-3. doi: 10.1111/j.1651-2227.1994.tb13144.x. PMID: 7949819
Kalayoglu M, Sieber WK, Rodnan JB, Kiesewetter WB
J Pediatr Surg 1971 Jun;6(3):290-300. doi: 10.1016/0022-3468(71)90470-2. PMID: 4932660
Wyrick W Jr, Votteler TP, Kramer RI, Dorman GW, Graivier L
Tex Med 1969 Mar;65(3):76-9. PMID: 5781378
HILL JT, SNYDER WH Jr, POLLOCK WF
Arch Surg 1964 Apr;88:522-7. doi: 10.1001/archsurg.1964.01310220012003. PMID: 14106999

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
Lai HC, Kosorok MR, Laxova A, Makholm LM, Farrell PM
Am J Epidemiol 2002 Jul 15;156(2):165-73. doi: 10.1093/aje/kwf014. PMID: 12117708
Prasad TR, Bajpai M
Indian J Pediatr 2000 Sep;67(9):671-8. doi: 10.1007/BF02762182. PMID: 11028122
Curtis JR, Burke W, Kassner AW, Aitken ML
Am J Respir Crit Care Med 1997 Jun;155(6):1921-4. doi: 10.1164/ajrccm.155.6.9196096. PMID: 9196096
Frederiksen B, Lanng S, Koch C, Høiby N
Pediatr Pulmonol 1996 Mar;21(3):153-8. doi: 10.1002/(SICI)1099-0496(199603)21:3<153::AID-PPUL1>3.0.CO;2-R. PMID: 8860069

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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