Could Scrotoschisis Mimic an Iatrogenic Injury? A Case Report

Neonatal testicular trauma: scrotal rupture

“…It is a documented consequence after breech vaginal delivery—especially in those with a birthweight of ≥2.5 kg born to a primiparous mother 2. A congenital defect in the scrotum (scrotoschisis) can occur3 but our case was noted to have an intact scrotum during labour. A review of fetal lacerations during caesarean section has demonstrated buttock and not genital injury 4.…”

Scrotoschisis: A rare cause of acute scrotum in neonates

“…Obstetric trauma proposed as cause is less likely as the testes and scrotum being mobile structures will escape from injury. [ 3 ] Shukla et al called it as extracorporeal ectopic occurring due to scrotal defect during descent of the testes. Gongaware et al[ 4 ] suggested the failure of differentiation of scrotal mesenchyme leaving a defect where gubernaculum was covered only by a thin layer of epithelium causing rupture or avascular necrosis of the scrotum due to a lack of a sufficient supporting structure within it.…”

“…It is a rare entity and only a few cases have been reported. [ 1 2 3 4 ] The cause of development of this condition is not known. It usually affects healthy newborns and we report this entity occurring in two neonates.…”

Extracorporeal Testicular Ectopia through Inguinal Canal: A Case Report

“…Testicular extrusion through the scrotal wall is called scrotoschisis. It is a rare entity and only a few cases have been reported [1][2][3][4]. We report a case of testicular extrusion through the inguinal canal in a preterm neonate.…”