Meconium periorchitis – An uncommon cause of perinatal scrotal swelling

Meconium periorchitis is amenable to prompt radiological diagnosis

“…Differential diagnoses of neonatal scrotal swelling are hydrocele, inguinoscrotal hernia, testicular neoplasm, testicular torsion, and organizing hematoma. [ 1 2 3 4 ] Calcifying testicular neoplasms can be teratoma, Sertoli cell tumor, metastatic neuroblastoma, paratesticular rhabdomyosarcoma, and lymphoma. MPO is an extremely rare possibility.…”

“…Meconium in the peritoneal cavity initiates chemical peritonitis. [ 3 5 ] If the ruptured bowel wall heals, there may be no evidence of the cause or site of perforation, as in the index case. Peritoneal meconium can stream along patent processus vaginalis into tunica vaginalis sac in the scrotum inducing an intense inflammatory reaction resulting in a paratesticular mass.…”