00:01
Here, we have meconium ileus.
00:04
As the name implies, there is lack
of movement down in the ileal region
So therefore the meconium
doesn’t pass. Why?
Why?
Remember meconium is the
“early passage of stool.”
And so therefore, there’s
abnormally thick meconium
in which it doesn’t
want to move forward,
resulting in blockage
in utero or neonatal,
early.
00:27
With this type of
thickened meconium
that would be present in the intestine,
then this predisposes your child
to perhaps develop volvulus
or perhaps even bowel
infraction may then occur.
00:44
In this case, the meconium ileus
is being caused by cystic fibrosis
and the first passage of the stool
that you’d expect in a child would be
well, normally pretty dark.
00:58
If the child is suffering
from cystic fibrosis,
there is going to be a
lack of proper lubrication
of the stool passing
through the intestine.
01:06
And so therefore, you’d expect there
to be very, very viscous --
In this case, very thick meconium,
which doesn’t want
to pass forward.
01:16
What’s my diagnosis?
Meconium ileus, an obstruction
that’s taken place.
01:21
You’ll notice here
in the picture,
black meconium that remained
back in the intestine
secondary to cystic fibrosis.