Sonography of Meconium Periorchitis in the Neonate

2019 ◽  
Vol 2 ◽  
pp. 6
Author(s):  
Spencer Kriss ◽  
Philip Dydynski

Occurrence of a scrotal mass in a newborn or young child often requires additional evaluation, the extent of which depends on the clinical scenario. We present a case of a newborn infant that presented with non-tender bilateral scrotal swelling that was prenatally suspected to be meconium periorchitis, a diagnosis confirmed by postnatal surgical exploration. Understanding the sonographic characteristics associated with meconium periorchitis help to allow for appropriate management of the patient and guide surgical evaluation.

1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 258-260
Author(s):  
C. Lania ◽  
M. Grasso ◽  
M. Castelli ◽  
E. Angeli ◽  
A. Del Maschio ◽  
...  

Bilateral testicular rupture is rare. Incidence is highest in the 16–20 age group. There are no specific signs or symptoms which make a differential diagnosis between testicular rupture and scrotal traumas possible. Examination at Doppler and ultrasonography and early surgical exploration provide early diagnosis, which is necessary to safeguard fertility. We report one case of bilateral orchialgia, following a diving episode. Ultrasound examination of the scrotum showed bilateral multiple areas of altered echogenicity of the testicular parenchyma and an intact tunica albuginea. During surgery bilateral multiple areas of haemorrhagic necrosis were drained. Outpatient examination one month after leaving the hospital was normal. At 3 and 6 months the results of seminal examination were within normal limits according to the parameters established by the WHO.


1998 ◽  
Vol 7 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Vinod K. Grover ◽  
Salim M. Adib ◽  
Leons Joseph ◽  
Ali M. Ali Nur

Radiology ◽  
1989 ◽  
Vol 173 (3) ◽  
pp. 668-668
Author(s):  
Richard O'Laughlin

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
P. A. Egharevba ◽  
O. Omoseebi ◽  
A. I. Okunlola ◽  
O. A. Omisanjo

Abstract Background Leiomyomas are benign smooth muscle tumours predominantly found in the uterus. Rarely, they may be located in the ovaries, scrotum, bladder, lungs, vascular structures and spermatic cord. Case presentation We managed a 39-year-old man who presented with a year history of progressive right-sided hemiscrotal swelling. The right scrotal mass was excised, and histology showed scrotal leiomyoma. Conclusion Scrotal leiomyoma is very rare and challenging to diagnose pre-operatively as a cause of scrotal swelling, but it is amenable to surgical excision.


2011 ◽  
Vol 54 (2) ◽  
pp. 81-82 ◽  
Author(s):  
Christopher C. K. Ho ◽  
Wan Jasman Jamaludin ◽  
Eng Hong Goh ◽  
Praveen Singam ◽  
Zulkifli Zainuddin

Ventriculoperitoneal shunts are associated with multiple complications. Among them are disconnection and migration of the tubing into the peritoneal cavity. Here we describe a case of a fractured ventriculoperitoneal shunt which migrated and coiled in the scrotum, masquerading as a scrotal swelling. Removal of the shunt via a scrotal incision was performed concomitantly with repair of the hernia sac.


2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Parkash Mandhan ◽  
Talal Al Rayes ◽  
Mansour J Ali ◽  
Mahmoud Aldhaheri

Amyand’s hernia is a rare clinical entity in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 5-day-old neonate with dysmorphic features referred to us with a tender irreducible right inguino-scrotal swelling. Surgical exploration showed gangrenous appendix with a peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed.


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
María Fernández-Ibieta ◽  
Flor Villalon-Ferrero ◽  
Jose Luis Ramos-García

A pediatric patient of 12 years consulted for a left scrotal mass of 2 months of evolution. After suspecting a cystic content due to positive transillumination, on ultrasonography a scrotal cyst separated from the testis, of 5 cm in its maximum length, was confirmed. Due to size, parental anxiety, and the referred short evolution, excision was decided. Given the clinical radiological findings, a scrotal incision was chosen, obtaining complete excision. Biopsy confirmed the diagnosis of simple epididymal cyst (EC). ECs usually present as painless, scrotal swelling in adolescents as a result of dilatation of the efferent epididymal tubules. Many cases (up to 60%) regress spontaneously. In these, average time to involute ranges from 4 to 50 months. Although cases of cyst torsion have been described (with pain derived from ischemia and inflammation), conservative management has been suggested in the majority, both in pediatric and in adult series. Surgery is recommended in some patients, due to testicular pain or increased paratesticular mass, as was our case.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Kian Asanad ◽  
Pooya Banapour ◽  
Monica Metzdorf

Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication. At the time of planned hydrocelectomy, initial diagnostic laparoscopy was used to identify a massive right-sided ASH extending from the internal ring to the umbilicus and a large noncommunicating left-sided hydrocele that was visible with application of pressure to the left side of the scrotum. Following confirmation of anatomy with diagnostic laparoscopy, a scrotal approach to hydrocelectomy was performed as well as bilateral orchidopexy.


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