Sonography of scrotal masses in healed meconium peritonitis

Friedman, A. P.; Haller, Jack O.; Goodman, Joan D.

doi:10.1007/bf02926767

Cited by 14 publications

(2 citation statements)

References 5 publications

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“…As the meconium calcifies, hard tumor-like masses form at 4 to 5 weeks of age. 3 Meconium peritonitis has a relationship with cystic fibrosis in that a small percentage of children with cystic fibrosis will have meconium peritonitis as the initial manifestation. All children with imaging studies done preor postnatally that suggest meconium peritonitis should undergo a sweat test to exclude cystic fibrosis.…”

Section: Discussionmentioning

confidence: 99%

“…8 The differential diagnosis of scrotal or testicular calcifications include teratoma, gonadoblastoma, Leydig cell tumor, testicular microlithiasis, and meconium peritonitis. 3 The presence of bone or teeth is diagnostic for teratoma, and testicular microlithiasis may show diffuse tiny calcifications of both testes. The diagnosis of meconium peritonitis causing scrotal calcifications most often is made by ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

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Meconium periorchitis presenting as scrotal nodules in a five year old boy.

Mene

Rosenberg

Ginsberg

1994

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Meconium periorchitis presenting as scrotal nodules in a five year old boy.

Mene

Rosenberg

Ginsberg

1994

Journal of Ultrasound in Medicine

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Significance of scrotal calcifications detected by sonography

Martin

Tubiana

1988

J of Clinical Ultrasound

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A total of 468 patients were evaluated using a high-resolution scanner with a high-frequency transducer. Scrotal calcifications were diagnosed by sonographic criteria in 22 patients. Size, number, arrangement, and especially location (testicular or extratesticular) were precisely determined.Calcifications, located within testicular parenchyma, particularly if multiple and grouped, were considered highly suspicious for malignancy, and surgery was mandatory. Based on these sonographic features, 9 patients underwent surgery with pathological examination.In all, calcifications were confirmed and found in 4 necrotic germ-cell tumors, in a germ-cell tumor scar but with intratubular occult seminoma, in 1 epidermoid testicular cyst, in 1 tuberculous epididymo-orchitis, in 1 granulomatous orchitis, and at last, in 1 ruptured testis with an old hematoma. In the 13 remaining patients, calcification was usually defined as solitary, large, and extratesticular by sonography and considered benign. No changes were seen in follow-up examinations. Indexing Words: Testis, ultrasound studies Testis, neoplasms Scrotum, calcificationThe detection of calcifications during sonography adds ancillary information in the diagnosis of a number of diseases of the liver, pancreas, biliary tract, and urinary tract. The significance of calcifications in the scrotum is evolving in the sonographic literature.'"To investigate the significance of calcifications in the scrotal sac, we reviewed 22 sonograms with calcifications diagnosed by sonography, and compared these sonographic characteristics to surgical and histological findings in 9 cases; 13 other cases were followed, both clinically and by sonography . PATIENTS AND METHODSOver the past four years, 951 scrotal sonograms were performed in 468 patients. Almost all ultrasound studies were obtained with a 7.5-MHz transducer adapted for use with a static or dynamic image scanner. Several scans were performed using a 5-MHz transducer with a water path. The gain settings were always adjusted properly by examining the contralateral supposedly normal hemiscrotum. Longitudinal as well as transverse sections were methodically obtained to ensure that the entire half of the scrotum was examined. Transverse images with the median raphe in the center of the scan were also obtained to show both testes on the same image to facilitate comparison. Lastly, it was occasionally useful to perform sonography with a patient in both supine and standing positions. RESULTSOf the 951 sonograms, 336 were considered abnormal and classified as follows:32 testicular tumors (9.5%), 22 trauma (5.6%), 156 infectious diseases (46.4%), 103 dystrophic diseases (30.6%), and 23 miscellaneous (6.8%).The traumatic cases included those with testicular torsion. Dystrophic diseases included cystic dystrophies of any part of the scrotal sac, varicoceles, ectopia, and cryptorchidism.In 95 cases (28%), acute scrotal pain was the initial manifestation. 545

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Tuberculous epididymo‐orchitis: Sonographic findings

Chung¹,

Harris²

1991

J of Clinical Ultrasound

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The genitourinary tract is the site most frequently involved with extrapulmonary tuberculosis. Tuberculous prostatitis and epididymitis commonly result from descending infection from the kidney, while involvement of the testes is more infrequent.' To our knowledge, only a single case report that mentions ultrasound evaluation of tuberculous epididymo-orchitis (TEO) has been published,2 but the sonographic findings described were minimal and no images were published. We report a case of TEO that, similar to the case described by Koyama et al, required surgical treatment after failure of conventional antimicrobial therapy. Awareness of the propensity of genito-urinary tuberculosis for involvement of the scrotal contents and the constellation of sonographic findings in TEO may initiate appropriate bacteriologic testing and antituberculous treatment, thereby avoiding unnecessary orchiectomy for benign disease. CASE REPORTA 51-year-old white man presented with 24 hours of right scrotal swelling and tenderness after a long automobile trip. His past medical history was significant for untreated pulmonary tuberculosis in the 1940s, prostatitis treated with trimethoprim-sulfisoxazole in 1986, and biopsy of a benign prostate nodule in 1988. On physical examination, the patient was afebrile, and the right epididymis was tender, nodular, and hard.Scrota1 ultrasound was performed with a 5 mHz phased-array linear transducer (Acuson, Mountain View, CA). A moderate hydrocele with a focus of calcification was present on the right (Fig 1). The right epididymis was enlarged and hypoechoic, and a hypoechoic lesion was noted in

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Sonography of scrotal masses in healed meconium peritonitis

Cited by 14 publications

References 5 publications

Meconium periorchitis presenting as scrotal nodules in a five year old boy.

Meconium periorchitis presenting as scrotal nodules in a five year old boy.

Significance of scrotal calcifications detected by sonography

Tuberculous epididymo‐orchitis: Sonographic findings

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