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. 2013 Jul-Aug;7(7-8):E495-8.
doi: 10.5489/cuaj.316.

Meconium periorchitis: A case report and literature review

Ammar Hameed Alanbuki  1 , Ashwith Bandi, Nick Blackford
Affiliations

Meconium periorchitis: A case report and literature review

Ammar Hameed Alanbuki et al. Can Urol Assoc J. 2013 Jul-Aug.

Abstract

Meconium periorchitis (MPO) is an uncommon entity associated with healed meconium peritonitis. The typical presentation is a soft hydrocele at birth which becomes harder in weeks as the meconium calcifies. A lack of awareness of this rare disease may lead to unnecessary surgery of scrotal masses. It can resolve spontaneously without compromising the testicle. Scrotal ultrasound is the mainstay of imaging and abdominal plain film is less sensitive but can help in the diagnosis. We report a case of a meconium periorchitis and discuss its radiological and histological features. We also review the relevant literature.

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Figures

Fig. 1
Fig. 1
Meconium periorchitis (gross appearance).
Fig. 2a
Fig. 2a
Lobules of fibroconnective tissue with abundant myxoid stroma.
Fig. 2b
Fig. 2b
Hemosiderin-laden macrophages and dystrophic calcification.
Fig. 3
Fig. 3
Ultrasonic picture of meconium periorchitis.
See this image and copyright information in PMC

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