Scrotal meconium pseudocysts: meconium periorchitis as a rare cause of postnatal acute scrotum

A 10-day-old newborn was taken to the paediatric emergency room due to scrotal swelling. Physical examination showed scrotal enlargement and palpable intrascrotal hard formations. Laboratory blood tests revealed no significant alterations. Testicular ultrasonography showed thickened and hypoechoic s...

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Bibliographic Details
Published in:BMJ case reports 2021-06, Vol.14 (6), p.e242323
Main Authors: Marzocchi, Guido, Lassandro, Giulia, Picchi, Stefano Giusto, Monteduro, Francesco
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Calcification
Case Report
Case reports
Child
Cysts
Feces
Female
Genital Diseases, Male - diagnostic imaging
Genital Diseases, Male - etiology
Genital Diseases, Male - surgery
Humans
Infant, Newborn
Inflammation
Laparotomy
Lymphoma
Male
Meconium
Metastasis
Neuroblastoma
Orchitis - diagnostic imaging
Orchitis - etiology
Pediatrics
Peritonitis
Scrotum - diagnostic imaging
Scrotum - surgery
Testes
Tumors
Ultrasonic imaging
Vagina
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Summary:A 10-day-old newborn was taken to the paediatric emergency room due to scrotal swelling. Physical examination showed scrotal enlargement and palpable intrascrotal hard formations. Laboratory blood tests revealed no significant alterations. Testicular ultrasonography showed thickened and hypoechoic scrotal walls and bilateral intrascrotal isoechoic nodules with small internal calcifications. An abdominal X-ray confirmed evidence of bilateral scrotal microcalcifications and small calcifications in the left hypochondrium. Urgent laparotomy performed for scrotal exploration verified the presence of nodular formations on the vaginal tunic of both testicles; the nodules were removed. Bilateral orchidopexy was performed in the same surgical session. When dealing with an acute scrotum in a newborn both emergency radiologists and clinicians should consider the possibility of scrotal meconium pseudocyst as a rare but possible cause of periorchitis.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-242323