Chun K, St-Vil D
Division of Pediatric General Surgery, Hôpital Sainte-Justine, Montreal, Quebec.
J Pediatr Surg. 1997 Jun;32(6):864-6. doi: 10.1016/s0022-3468(97)90637-0.
Scrotoschisis, a congenital defect of the scrotal wall associated with extracorporeal testicular ectopy, has been previously reported only twice. Meconium periorchitis is another rare scrotal anomaly indicative of an antenatally healed gastrointestinal perforation. The authors present a third case of scrotoschisis and the first associated with meconium periorchitis. Several hours after birth of an otherwise-normal term baby boy, a scrotal exploration was performed with orchidopexy and primary closure of the scrotal wall defect. At 4 months of age the baby underwent a contralateral inguino-scrotal exploration with excision of a paratesticular mass of calcified meconium. The role of a normally developed scrotum in testicular descent and causes of calcified scrotal masses in infants are discussed.
阴囊裂是一种与体外睾丸异位相关的阴囊壁先天性缺陷，此前仅有两次报道。胎粪性睾丸炎是另一种罕见的阴囊异常，提示产前已愈合的胃肠道穿孔。作者报告了第三例阴囊裂病例，也是首例合并胎粪性睾丸炎的病例。一名足月正常男婴出生数小时后，进行了阴囊探查并实施睾丸固定术及阴囊壁缺损一期缝合。婴儿4个月大时，对侧腹股沟阴囊探查，切除睾丸旁钙化胎粪肿块。本文讨论了正常发育的阴囊在睾丸下降中的作用以及婴儿阴囊钙化肿块的成因。
