Regev R H, Markovich O, Arnon S, Bauer S, Dolfin T, Litmanovitz I
Neonatal Department, Meir Medical Center, Kfar Saba 44821, Israel.
J Perinatol. 2009 Aug;29(8):585-7. doi: 10.1038/jp.2009.15.
Meconium periorchitis (MP) is a rare disorder caused by fetal meconium peritonitis with subsequent spillage of meconium into the scrotal sac. The condition is seldom diagnosed correctly during fetal life and the ultrasonographic diagnoses reported vary from no diagnosis to hematoma or hydrocele. It is usually diagnosed clinically during the first year of life when a scrotal mass is an incidental finding. Here, we describe two cases of MP that were diagnosed during routine intrauterine ultrasound examination for fetal growth assessment, and confirmed after birth. One infant underwent a surgical excision of the scrotal mass, confirming the histological diagnosis of meconium periorchitis. The other was managed conservatively. Neither had cystic fibrosis. Thus, we believe that a diagnosis of MP should be considered when prenatal ultrasonographic findings are suspicious for the problem. The awareness of the ultrasonographer and the neonatologist are important for immediate postnatal management, as congenital scrotal masses may have other etiologies.
胎粪性睾丸炎（MP）是一种由胎儿胎粪性腹膜炎导致胎粪随后溢入阴囊囊引起的罕见病症。在胎儿期很少能正确诊断出这种病症，所报道的超声诊断结果从未诊断到血肿或鞘膜积液各不相同。通常在出生后第一年临床诊断，此时阴囊肿物是偶然发现的。在此，我们描述两例在常规宫内超声检查以评估胎儿生长时被诊断出、出生后得到证实的MP病例。一名婴儿接受了阴囊肿物的手术切除，证实了胎粪性睾丸炎的组织学诊断。另一名婴儿接受了保守治疗。两名婴儿均无囊性纤维化。因此，我们认为当产前超声检查结果对该问题存在可疑时，应考虑MP的诊断。超声检查人员和新生儿科医生的认知对于出生后立即进行的管理很重要，因为先天性阴囊肿物可能有其他病因。
