1976
DOI: 10.1016/s0022-5347(17)59296-4
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Meconium Granulomas of the Tunica Vaginalis

Abstract: Meconium peritonitis results from perforation of the gastrointestinal tract during fetal life. Involvement of the tunica vaginalis may be the sole presenting clinical manifestation of the disease in the unusual event of the gut perforation resolving spontaneously. In such instances radiologically detectable calcification in the abdomen and scrotum is an essential diagnostic point. A case is described in which a baby had hydroceles and bilateral intrascrotal nodules but in which calcification was radiologically… Show more

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Cited by 30 publications
(9 citation statements)
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“…Intraluminal problems such as meconium plugs and extramural conditions such as volvulus, band or hernia, can also cause obstruction and perforation of the intestinal wall [8]. The underlying causes of meconium peritonitis thus include meconium ileus, intestinal atresia, stenosis, internal hernia, neonatal Hirschsprung's disease, volvulus, intussusception, extrinsic band, and duplication [4,5,9]. Colonic atresia [10], torsion of a fallopian tube cyst [2], perforated duplications [11] and fetus-in-fetu [12] have been reported as rare causes of meconium peritonitis.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Intraluminal problems such as meconium plugs and extramural conditions such as volvulus, band or hernia, can also cause obstruction and perforation of the intestinal wall [8]. The underlying causes of meconium peritonitis thus include meconium ileus, intestinal atresia, stenosis, internal hernia, neonatal Hirschsprung's disease, volvulus, intussusception, extrinsic band, and duplication [4,5,9]. Colonic atresia [10], torsion of a fallopian tube cyst [2], perforated duplications [11] and fetus-in-fetu [12] have been reported as rare causes of meconium peritonitis.…”
Section: Discussionmentioning
confidence: 99%
“…Calcification occurred as early as 48 hours after perforation [20]. However, it should be differentiated from other conditions with intraabdominal calcifications of biliary origin, vascular origin, intraluminal cause, or tumor of solid organ [9,16].…”
Section: Discussionmentioning
confidence: 99%
“…The same inflammatory reaction occurs in these surfaces as in the peritoneum. [1][2][3][4] The usual clinical presentation of meconium peritonitis is intestinal obstruction and meconium ascites. Occasionally, the peritoneal inflammation subsides and no peritoneal irritation signs can be detected.…”
Section: Discussionmentioning
confidence: 99%
“…Rare cases of pleural cavity involvement through congenital diaphragmatic defects have also been reported. [1][2][3] When considering the inguinoscrotal region separately, a soft meconium hydrocele is the most frequent presentation of meconium peritonitis at birth, which is usually replaced by hard scrotal nodules over the next few weeks. 1,2 Meconium peritonitis may be diagnosed incidentally during elective inguinal surgery through calcified nodules found in the wall of the hernia sac.…”
Section: Introductionmentioning
confidence: 99%
“…In 10/41 reviewed eases no serotal abnormality was reeognized at birth (2,4,6,12,13,23,29). The age at diagnosis ranges from the 28th week of gestation (14) to 5 years (18,23), most eases are deteeted by 21 months (2,4).…”
Section: Meeonium Periorehitis (Mpo) First Deseribed By Olniek Andmentioning
confidence: 99%