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Conservative management after prenatal ultrasound diagnosis of meconium periorchitis
Aleksandra Stupak1, Arkadiusz Krzyzanowski2, Anna Semczuk-Sikora2
1Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland. alexstu@gmail.com.
Abstract:
Meconium periorchitis is caused by the leakage of meconium from a bowel perforation into the peritoneal cavity via a patent processus vaginalis into the scrotal sac during fetal life or in the early postnatal period. Intrauterine meconium peritonitis causes sterile inflammatory response and calcification. Here, we describe a prenatally diagnosed case of meconium periorchitis. During the ultrasound scan at 29 weeks' gestation, enlargement of the scrotum with many small hyperechogenic masses and normal anatomy of testis was observed. Our case is the 11th prenatally diagnosed case presented in the worldwide literature and the first one described in Poland. This case confirms the latest tendency for the conservative management of meconium periorchitis and an asymptomatic postnatal course.
Insights
Meconium periorchitis, a rare fetal condition, involves meconium leakage into the scrotum. This case highlights conservative management and a favorable postnatal outcome for this condition.
Area of Science:
- Perinatal medicine
- Pediatric surgery
- Fetal imaging
Background:
- Meconium periorchitis results from fetal bowel perforation and meconium leakage into the peritoneal cavity and scrotal sac via a patent processus vaginalis.
- Intrauterine meconium peritonitis can lead to sterile inflammation and calcification within the fetal abdomen and scrotum.
Observation:
- A case of meconium periorchitis was diagnosed prenatally at 29 weeks gestation via ultrasound.
- The ultrasound revealed scrotal enlargement with multiple hyperechogenic masses, while testicular anatomy remained normal.
Findings:
- This represents the 11th prenatal diagnosis of meconium periorchitis reported globally and the first in Poland.
- The described case supports a trend towards conservative management for meconium periorchitis.
Implications:
- Prenatal diagnosis of meconium periorchitis allows for early identification and planning of management strategies.
- Conservative management appears effective, leading to asymptomatic postnatal courses in selected cases.
- This case contributes valuable data to the limited literature on prenatal diagnosis and management of meconium periorchitis.
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