[Meconium periorchitis. Two case reports].
METHODS
Two cases of meconium periorchitis respectively in a ten-day- and a five-month-old infant are reported. The presenting symptom was a scrotal mass, isolated in one case and associated with pain and inflammation in the other case. Intraoperative histological diagnosis allowed conservative surgery in one case.


CONCLUSIONS
About 40 cases of scrotal manifestations of an intrauterine perforation of the gastrointestinal tract are reported in the literature. In cases with associated intraperitoneal calcifications, the diagnosis is easy and surgical exploration may be avoided, spontaneous resolution being the rule. However, in half of the cases, a scrotal mass is the only manifestation and raises the question of a testicular tumor.


CONCLUSIONS
Unfamiliarity with this unusual entity may lead to unnecessary orchiectomy.
Bouhafs
A
A
Service de chirurgie pédiatrique, pavillon T bis, hôpital Edouard-Herriot, 69437, Lyon, France.
Bouvier
R
R
Dodat
H
H
D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008470:Meconium; D009919:Orchiectomy; D009920:Orchitis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D010538:Peritonitis / Q000150:complications / Q000209:etiology; D012075:Remission, Spontaneous; D013736:Testicular Neoplasms / Q000175:diagnosis