PEDIATRICS Vol. 49 No. 5 May 1972, pp. 767-768
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Vomiting In Utero with Intestinal Atresia

H. Shrand M.D.1

1 Department of Pediatrics and Adolescent Medicine, Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, Massachusetts 02138

The fetus with high intestinal obstruction may vomit bile in utero. A green amniotic fluid with failure to pass meconium clinches the diagnosis.

Case Report

After an uncomplicated pregnancy, labor progressed with no signs of fetal distress—yet when the membranes were ruptured excessive amounts of green amniotic fluid appeared. The obstetcian diagnosed hydramnios with "meconium stained liquor." The fetal heart then dropped to 80 beats a minute and the infant (2.7 kg) was immediately delivered by low forceps. The cord was wrapped around the neck producing a face purple with ecchymoses.

After unwrapping the cord greenish fluid was suctioned from the mouth and pharynx and over 30 cc from the stomach.