A Rare Case of Meconium Periorchitis Diagnosed in Utero

Meconium periorchitis is a rare disorder caused by fetal meconium peritonitis, with subsequent passage of meconium into the scrotum via a patent processus vaginalis. To date, clinical significance of meconium periorchitis for the prenatal diagnosis of meconium peritonitis and prediction for postnata...

Full description

Saved in:
Bibliographic Details
Main Authors: Daigo Ochiai, Sayu Omori, Toshiyuki Ikeda, Kazumi Yakubo, Tatsuro Fukuiya
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/606134
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564595860963328
author Daigo Ochiai
Sayu Omori
Toshiyuki Ikeda
Kazumi Yakubo
Tatsuro Fukuiya
author_facet Daigo Ochiai
Sayu Omori
Toshiyuki Ikeda
Kazumi Yakubo
Tatsuro Fukuiya
author_sort Daigo Ochiai
collection DOAJ
description Meconium periorchitis is a rare disorder caused by fetal meconium peritonitis, with subsequent passage of meconium into the scrotum via a patent processus vaginalis. To date, clinical significance of meconium periorchitis for the prenatal diagnosis of meconium peritonitis and prediction for postnatal surgery remains to be determined. We present a clinical course of a fetus presenting with meconium periorchitis induced by meconium peritonitis. At 28 weeks’ gestation, fetal ultrasonography indicated fetal ascites associated with bilateral hydrocele and peritesticular calcification without other signs of meconium peritonitis. The pregnancy was uneventful until delivery and the infant was delivered at 37 weeks’ gestation. No abdominal distension was observed at birth, and radiography did not reveal any abdominal calcification except for scrotal calcification. Abdominal distension was observed 3 days after birth and laparotomy was performed. The diagnosis of meconium peritonitis was confirmed at surgery. Our case illustrated that careful examination of the scrotum during fetal life was helpful for prenatal diagnosis of meconium peritonitis as well as postnatal management.
format Article
id doaj-art-29ca281d65e2422c8a06601255838a92
institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-29ca281d65e2422c8a06601255838a922025-02-03T01:10:37ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/606134606134A Rare Case of Meconium Periorchitis Diagnosed in UteroDaigo Ochiai0Sayu Omori1Toshiyuki Ikeda2Kazumi Yakubo3Tatsuro Fukuiya4Department of Obstetrics & Gynecology, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama-shi, Saitama 336-8522, JapanDepartment of Pediatrics, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama-shi, Saitama 336-8522, JapanDepartment of Obstetrics & Gynecology, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama-shi, Saitama 336-8522, JapanDepartment of Obstetrics & Gynecology, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama-shi, Saitama 336-8522, JapanDepartment of Obstetrics & Gynecology, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama-shi, Saitama 336-8522, JapanMeconium periorchitis is a rare disorder caused by fetal meconium peritonitis, with subsequent passage of meconium into the scrotum via a patent processus vaginalis. To date, clinical significance of meconium periorchitis for the prenatal diagnosis of meconium peritonitis and prediction for postnatal surgery remains to be determined. We present a clinical course of a fetus presenting with meconium periorchitis induced by meconium peritonitis. At 28 weeks’ gestation, fetal ultrasonography indicated fetal ascites associated with bilateral hydrocele and peritesticular calcification without other signs of meconium peritonitis. The pregnancy was uneventful until delivery and the infant was delivered at 37 weeks’ gestation. No abdominal distension was observed at birth, and radiography did not reveal any abdominal calcification except for scrotal calcification. Abdominal distension was observed 3 days after birth and laparotomy was performed. The diagnosis of meconium peritonitis was confirmed at surgery. Our case illustrated that careful examination of the scrotum during fetal life was helpful for prenatal diagnosis of meconium peritonitis as well as postnatal management.http://dx.doi.org/10.1155/2015/606134
spellingShingle Daigo Ochiai
Sayu Omori
Toshiyuki Ikeda
Kazumi Yakubo
Tatsuro Fukuiya
A Rare Case of Meconium Periorchitis Diagnosed in Utero
Case Reports in Obstetrics and Gynecology
title A Rare Case of Meconium Periorchitis Diagnosed in Utero
title_full A Rare Case of Meconium Periorchitis Diagnosed in Utero
title_fullStr A Rare Case of Meconium Periorchitis Diagnosed in Utero
title_full_unstemmed A Rare Case of Meconium Periorchitis Diagnosed in Utero
title_short A Rare Case of Meconium Periorchitis Diagnosed in Utero
title_sort rare case of meconium periorchitis diagnosed in utero
url http://dx.doi.org/10.1155/2015/606134
work_keys_str_mv AT daigoochiai ararecaseofmeconiumperiorchitisdiagnosedinutero
AT sayuomori ararecaseofmeconiumperiorchitisdiagnosedinutero
AT toshiyukiikeda ararecaseofmeconiumperiorchitisdiagnosedinutero
AT kazumiyakubo ararecaseofmeconiumperiorchitisdiagnosedinutero
AT tatsurofukuiya ararecaseofmeconiumperiorchitisdiagnosedinutero
AT daigoochiai rarecaseofmeconiumperiorchitisdiagnosedinutero
AT sayuomori rarecaseofmeconiumperiorchitisdiagnosedinutero
AT toshiyukiikeda rarecaseofmeconiumperiorchitisdiagnosedinutero
AT kazumiyakubo rarecaseofmeconiumperiorchitisdiagnosedinutero
AT tatsurofukuiya rarecaseofmeconiumperiorchitisdiagnosedinutero