Megabladder Microcolon Delayed Peristalsis Syndrome may be caused by insufficiently mature neuromuscular function, which the body can correct on its own, but the process is slow, and many die from urinary tract infections, sepsis, and long-term malnutrition.

bubble_chart Clinical Manifestations

The patient had a normal birth weight, but later developed progressive abdominal distension and fullness, absence of meconium, a large soft abdominal mass upon palpation, and was prone to urinary tract infections.

bubble_chart Auxiliary Examination

B-ultrasound revealed a giant bladder. Barium enema showed a small and malrotated colon.

bubble_chart Diagnosis

1. Small intestine dilation and weakened peristalsis occur shortly after birth.

2. The colon is small, with poor peristalsis, displacement, or malrotation.

3. A large bladder is palpable on abdominal examination.

4. There is no evidence of mechanical obstruction in the urinary tract or gastrointestinal tract.

bubble_chart Treatment Measures

The treatment initially involves parenteral nutrition, followed by jejunostomy and gastrostomy, with elemental diet administered through the stoma. Prevention and treatment of urinary tract and systemic infections are also essential.