Conservative management after prenatal ultrasound diagnosis of meconium periorchitis.
Meconium periorchitis is caused by the leakage of meconium from a bowel perforation into the peritoneal cavity via a patent processus vaginalis into the scrotal sac during fetal life or in the early postnatal period. Intrauterine meconium peritonitis causes sterile inflammatory response and calcification. Here, we describe a prenatally diagnosed case of meconium periorchitis. During the ultrasound scan at 29 weeks' gestation, enlargement of the scrotum with many small hyperechogenic masses and normal anatomy of testis was observed. Our case is the 11th prenatally diagnosed case presented in the worldwide literature and the first one described in Poland. This case confirms the latest tendency for the conservative management of meconium periorchitis and an asymptomatic postnatal course.
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland. alexstu@gmail.com.
Aleksandra
A
Stupak
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Arkadiusz
A
Krzyzanowski
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Anna
A
Semczuk-Sikora
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Izabela
I
Dymanowska-Dyjak
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Tomasz
T
Geca
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Adrianna
A
Kondracka
Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.
Anna
A
Kwasniewska
D000328:Adult; D000072700:Conservative Treatment; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008470:Meconium / Q000000981:diagnostic imaging*; D009920:Orchitis / Q000000981:diagnostic imaging* / Q000628:therapy*; D011044:Poland; D011247:Pregnancy; D012611:Scrotum / Q000000981:diagnostic imaging; D013737:Testis / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal
Diagnosis; Meconium; Periorchitis; Ultrasound