Meconial hydrocele as first sign of acute intestinal perforation in a preterm baby

Jiménez-Cabanillas, Maria Victoria; Vetter-Laracy, Susanne; Cobo, Pilar; Jaume, Antonia Roca; Maroto-García, Cristina M; Montero, A Moreno

doi:10.1136/archdischild-2018-315737

Cited by 1 publication

(2 citation statements)

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“…12 MPO diagnosed in the prenatal period tends to have a good prognosis as intestinal perforation usually will heal before delivery. 13 More importantly the mortality rate after meconium peritonitis has decreased significantly secondary to improved fetal diagnostic tools and management. 14 The management of MPO includes conservative and surgical approaches.…”

Section: Discussionmentioning

confidence: 99%

“…It is crucial to look for small bowel loops with peristaltic waves within the scrotum as this would be suggestive of an inguinoscrotal hernia rather than meconium periorchitis 12 . MPO diagnosed in the prenatal period tends to have a good prognosis as intestinal perforation usually will heal before delivery 13 . More importantly the mortality rate after meconium peritonitis has decreased significantly secondary to improved fetal diagnostic tools and management 14 .…”

Section: Discussionmentioning

confidence: 99%

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Fetal diagnosis of meconium periorchitis: A case report

Moustafa,

Araji

2023

Clinical Case Reports

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Key Clinical MessageFetal meconium periorchitis (MPO) is rare prenatal diagnosis associated with meconium peritonitis. The prenatal ultrasound finding consists of an enlarged fetal scrotum with echogenic fluid and debris. In this report, we describe a case in which a prenatal diagnosis of MPO was accurately made at 32 weeks of gestation. The neonate delivered without complications, underwent immediate evaluation followed by major surgery, and ultimately had a favorable outcome. An accurate prenatal diagnosis is important to counsel the patient in a multidisciplinary approach. This case highlights the prenatal ultrasound findings as well as the neonatal presentation and the possibility for conservative management by pediatric urology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%