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...
Saved in:
Main Authors: | , , , , |
---|---|
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 |