Meconium periorchitis?a rare cause of a paratesticular mass

Williams, Helen; Abernethy, Laurence; Losty, Paul D.; Kotiloǧlu, Esin

doi:10.1007/s00247-003-1079-2

Cited by 26 publications

(21 citation statements)

References 8 publications

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“…[368][369][370] Most patients do not have cystic fibrosis, and the perforation typically is clinically silent. In their review, Jeanty et al 371 found 9% of 32 patients with meconium periorchitis tested positive for cystic fibrosis.…”

Section: Meconium Periorchitismentioning

confidence: 99%

Testicular and paratesticular tumors and tumor-like lesions in the first 2 decades

Ulbright

Young

2014

Seminars in Diagnostic Pathology

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Section: Meconium Periorchitismentioning

confidence: 99%

Testicular and paratesticular tumors and tumor-like lesions in the first 2 decades

Ulbright

Young

2014

Seminars in Diagnostic Pathology

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“…Others advocate a conservative approach, especially in the presence of abdominal calcifications, as the natural history in an asymptomatic infant is self-limiting, with spontaneous resolution and resorption of the calcifications. [6][7][8]13,17,18 The presence of both abdominal and scrotal calcifications on abdominal X-ray in our second case directed us toward a conservative approach, whereas the absence of abdominal calcifications in case 1 resulted in the evaluation for other causes and eventual excision of a paratesticular mass.…”

Section: Discussionmentioning

confidence: 83%

Meconium periorchitis: intrauterine diagnosis and neonatal outcome: case reports and review of the literature

et al. 2009

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Meconium periorchitis (MP) is a rare disorder caused by fetal meconium peritonitis with subsequent spillage of meconium into the scrotal sac. The condition is seldom diagnosed correctly during fetal life and the ultrasonographic diagnoses reported vary from no diagnosis to hematoma or hydrocele. It is usually diagnosed clinically during the first year of life when a scrotal mass is an incidental finding. Here, we describe two cases of MP that were diagnosed during routine intrauterine ultrasound examination for fetal growth assessment, and confirmed after birth. One infant underwent a surgical excision of the scrotal mass, confirming the histological diagnosis of meconium periorchitis. The other was managed conservatively. Neither had cystic fibrosis. Thus, we believe that a diagnosis of MP should be considered when prenatal ultrasonographic findings are suspicious for the problem. The awareness of the ultrasonographer and the neonatologist are important for immediate postnatal management, as congenital scrotal masses may have other etiologies.

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“…[1][2][3] The testis is nontender to palpation, and scrotal oedema is often absent. Other variant pathologies, notably neoplasms or meconium periorchitis, are uncommon in this age group [4,5]. Torsion in the male newborn is traditionally believed to occur because of the loose attachments of the tunica vaginalis to the wall of the scrotum during the first few weeks of life [1][2][3][4].…”

Section: Discussionmentioning

confidence: 98%