This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Snow storm ascites is seen in 
Select and explain. 
A. Meconium ileus, B. Hirschsprung disease, C. Ileocaecal tuberculosis, D. Pseudomyxoma peritonei
A: Meconium ileus
Answer: A: Meconium ileus 
Explanation: .meconium is neonatal manifestation of fibrocystic disease of the pancreas, wherein thick meconium which is viscid and paste like, gets collected in the terminal ileum. Because of inspissation it forms a firm bolus leading to obstruction of the ileum Meconium ileus- * Commonly associated with cystic disease of pancreas but not necessarily always * Respiratory dysfunction * Exocrine pancreatic insufficiency * High salt in the sweat > 90 mmol/L * Ileal obstruction * Soap bubble appearance in X-ray * Gelatin in X-ray film will not get digested by patient's vomitus * Bishop-Koop operation, ileostomy, dissolving ileal meconium pellets are required. ref:SRB&;s manual of surgery,ed 3,pg no 862