Key Clinical MessageA 20‐day‐old boy was presented with left scrotal swelling, clinically diagnosed as hydrocele. Ultrasonographic findings suggested hydrocele with paratesticular mass. Intraoperatively we found paratesticular mass, separate from left testis. Specimen revealed fibroconnective tissue with mucoid degeneration and focal areas of calcification suggesting meconium periorchitis. It is important to consider meconium periorchitis as one of the etiologies, thereby avoiding unnecessary orchidectomies.
HighlightsThe duct fully obliterates (narrows and disappears) during the 5–6th week of fertilization age (9th week of gestational age), but a failure of the duct to close is termed a vitelline fistula.We present a case of 1 year male with paraumblical abcess due to patent vitellointestinal duct who underwent incision and drainage twice.Of all the anomalies of the VID, complete patency of the duct is the rarest.
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