ACCORDING to Boikan,1 "meconium peritonitis is a pathologic entity which is to be clearly differentiated from the acute bacterial peritonitis of the newborn...." Thus he described the condition, in 1930, in an excellent article presenting a fatal case in a term infant who died 26 hours after birth.
Low and co-workers,2 in reporting a successfully treated case, pointed out that analysis of 40 cases reported by Rudnew, in 1915, showed that approximately half the cases of meconium peritonitis are associated with intestinal obstruction, are readily demonstrable, and range from developmental atresias and mucoviscidosis to ordinary adult causes, such as volvulus and intussusception.
The above writers and many others * have detailed the composition of meconium and the calcifications that develop in the infant's peritoneal cavity following the chemical peritonitis. It is not our intent in this presentation to make a further review of the literature.
In view of improved
THOMAS H. CONNELL, MAXWELL BOGIN. GANGRENE OF THE INTESTINE OCCURRING IN UTEROReport of Successful Resection. AMA Am J Dis Child. 1954;87(5):621–625. doi:10.1001/archpedi.1954.02050090609013