Seminars in Pediatric Surgery
Volume 14, Issue 1 , Pages 58-63, February 2005

Megacystis microcolon intestinal hypoperistalsis syndrome

  • Prem Puri

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Professor Prem Puri, MS, FRCS, Children’s Research Centre, Our Lady’s Hospital for Sick Children, Crumlin, Dublin 12, Ireland
  • ,
  • Masato Shinkai

Children’s Research Centre, Our Lady’s Hospital for Sick Children, University College Dublin, Dublin, Ireland

Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is a rare and the most severe form of functional intestinal obstruction in the newborn. The major features of this congenital and usually lethal anomaly are abdominal distension, bile-stained vomiting, and absent or decreased bowel peristalsis. Abdominal distension is a consequence of the distended, unobstructed urinary bladder with or without upper urinary tract dilation. Most patients with MMIHS are not able to void spontaneously. This article reviews the pathogenesis of MMIHS as well as the clinical, radiological, surgical and histological findings in all reported cases of this syndrome.

Keywords:  Megacystis microcolon intestinal hypoperistalsis syndrome , Functional intestinal obstruction , Non-obstructed urinary bladder distention , Newborn

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PII: S1055-8586(04)00082-4

doi:10.1053/j.sempedsurg.2004.10.026

Seminars in Pediatric Surgery
Volume 14, Issue 1 , Pages 58-63, February 2005