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Pediatric Radiology

, Volume 36, Issue 11, pp 1208–1211 | Cite as

Prenatal MR imaging of a meconium pseudocyst extending to the right subphrenic space with right lung compression

  • Alex M. Wong
  • Cheng-Hong Toh
  • Reyin Lien
  • An-Shine ChaoEmail author
  • Ho-Fai Wong
  • Koon-Kwan Ng
Case Report

Abstract

Meconium pseudocyst results from a loculated inflammation occurring in response to spillage of meconium into the peritoneal cavity after a bowel perforation. Certain cystic lesions, such as abscesses and dermoid and epidermoid cysts, are known to show reduced water diffusion on DWI. MRI has recently become a valuable adjunct to ultrasonography for fetal gastrointestinal anomalies. Complementary to ultrasonography, prenatal MRI can help further characterize the lesion and can clearly demonstrate the anatomical relationship between the lesion and adjacent organs. We report a case of meconium pseudocyst that was prenatally imaged with ultrasonography and MRI, postnatally complicated by pneumoperitoneum, and proved by postnatal surgery and histopathology. We emphasize the MRI of the pseudocyst, particularly T1-weighted and diffusion-weighted imaging.

Keywords

Meconium pseudocyst Prenatal MRI Right subphrenic space 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Alex M. Wong
    • 1
  • Cheng-Hong Toh
    • 1
  • Reyin Lien
    • 2
  • An-Shine Chao
    • 3
    Email author
  • Ho-Fai Wong
    • 1
  • Koon-Kwan Ng
    • 1
  1. 1.Department of Medical Imaging and Intervention, Chang Gung Memorial HospitalChang Gung UniversityKwei-ShanTaiwan, Republic of China
  2. 2.Department of Pediatrics, Chang Gung Memorial HospitalChang Gung UniversityKwei-ShanTaiwan, Republic of China
  3. 3.Department of Obstetrics and Gynecology, Chang Gung Memorial HospitalChang Gung UniversityKwei-ShanRepublic of China

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