RT Journal Article T1 Meconium pseudocyst secondary to ileum volvulus perforation without peritoneal calcification: a case report A1 Valladares, Esther A1 Rodríguez Sanz, David A1 Vela, Antonio A1 Cabré, Sergi A1 Lailla, Josep Maria AB IntroductionA case of giant meconium pseudocyst secondary to ileum volvulus perforation is presented. Conventional radiographic features of meconium peritonitis with secondary meconium pseudocyst formation are well described. Our case is unusual in comparison to other cases reported in the literature and needs to be reported because the meconium pseudocyst presented without the typical ultrasound features (calcifications, polyhydramnios and ascites) and was initially identified as an abdominal mass.Case presentationWe describe the case of a 29-year-old Caucasian woman in her third trimester of pregnancy, in which an abdominal mass was detected in the fetus. The newborn was diagnosed in the early neonatal period with meconium pseudocyst secondary to ileum volvulus perforation.ConclusionsThe prenatal appearance of a meconium pseudocyst can be complemented by other signs of bowel obstruction (if present) such as polyhydramnios and fetal bowel dilatation. This is an original case report of interest to all clinicians in the perinatology and fetal ultrasound field. We consider that the utility of this case is the recognition that a meconium pseudocyst might appear without the typical ultrasound features and should be considered as a differential diagnosis when an echogenic intra-abdominal cyst is seen. PB BioMed Central Ltd SN 1752-1947 YR 2010 FD 2010-08-31 LK https://hdl.handle.net/20.500.14352/125542 UL https://hdl.handle.net/20.500.14352/125542 LA eng NO Valladares E, Rodríguez D, Vela A, Cabré S, Lailla JM. Meconium pseudocyst secondary to ileum volvulus perforation without peritoneal calcification: A case report. Journal of Medical Case Reports. 2010;4(1). DS Docta Complutense RD 19 mar 2026