morphine and Genital-Diseases--Male

A 10-day-old newborn was taken to the paediatric emergency room due to scrotal swelling. Physical examination showed scrotal enlargement and palpable intrascrotal hard formations. Laboratory blood tests revealed no significant alterations. Testicular ultrasonography showed thickened and hypoechoic scrotal walls and bilateral intrascrotal isoechoic nodules with small internal calcifications. An abdominal X-ray confirmed evidence of bilateral scrotal microcalcifications and small calcifications in the left hypochondrium. Urgent laparotomy performed for scrotal exploration verified the presence of nodular formations on the vaginal tunic of both testicles; the nodules were removed. Bilateral orchidopexy was performed in the same surgical session. When dealing with an acute scrotum in a newborn both emergency radiologists and clinicians should consider the possibility of scrotal meconium pseudocyst as a rare but possible cause of periorchitis.

Topics: Child; Female; Genital Diseases, Male; Humans; Infant, Newborn; Male; Meconium; Orchitis; Scrotum

The authors report on a newborn baby with congenital hydrocele in whom pneumoscrotum developed. Air and meconium were found over the hernia sac, owing to ileal atresia with perforation. Gas in the scrotum usually is inside herniated bowel, but it can be the first sign of pneumoperitoneum.

Topics: Air; Emphysema; Genital Diseases, Male; Hernia, Inguinal; Humans; Ileum; Infant, Newborn; Intestinal Atresia; Male; Meconium; Scrotum; Testicular Hydrocele

Topics: Calcinosis; Genital Diseases, Male; Humans; Infant; Male; Meconium; Scrotum; Ultrasonography; Urogenital Surgical Procedures

Meconium peritonitis is a form of chemical peritonitis resulting from in utero perforation of the gastrointestinal tract, with subsequent leakage of sterile meconium into the peritoneal cavity and the potential spaces connected with it. Involvement of the tunica vaginalis may be the sole presenting clinical manifestation of the gut perforation resolving spontaneously. In such instances, radiologically detectable calcifications in the abdomen, scrotum, and thorax are essential diagnostic points. In this study, a 4-month-old baby with abdominal, scrotal, and thoracic calcifications owing to healed meconium peritonitis is presented.

Topics: Abdomen; Calcinosis; Disease Progression; Genital Diseases, Male; Hernia, Diaphragmatic; Humans; Infant; Male; Meconium; Peritonitis; Radiography; Scrotum

Topics: Acute Disease; Genital Diseases, Male; Humans; Infant, Newborn; Male; Meconium; Radionuclide Imaging; Scrotum; Testicular Hydrocele

Topics: Calcinosis; Child, Preschool; Diagnosis, Differential; Genital Diseases, Male; Humans; Male; Meconium; Orchitis; Scrotum; Ultrasonography

Congenital rupture of the scrotum caused by meconium peritonitis occurred in a newborn with clinical findings of the Beckwith-Wiedemann syndrome. Ruptured omphalocele and jejunal atresia were present. Surgical repair 3 hours after birth was successful.

Topics: Genital Diseases, Male; Humans; Infant, Newborn; Male; Meconium; Peritonitis; Rupture, Spontaneous; Scrotum

Although uncommon, meconium peritonitis can present with a scrotal mass. Usually calcified, this mass may be the initial or only sign of meconium peritonitis. We detected such a scrotal mass prenatally with ultrasound.

Topics: Adolescent; Female; Genital Diseases, Male; Humans; Male; Meconium; Peritonitis; Pregnancy; Prenatal Diagnosis; Scrotum; Testicular Hydrocele; Ultrasonography

Topics: Genital Diseases, Male; Humans; Infant, Newborn; Male; Meconium; Peritonitis; Rupture, Spontaneous; Scrotum

Although sonography is the procedure of choice in evaluating testicular masses in infants, x-ray examination can confirm the diagnosis of healed meconium peritonitis by showing scattered intra-abdominal as well as intrascrotal calcifications. Failure to include an abdominal radiograph early in the evaluation of 2 infants admitted with hard scrotal masses resulted in delayed diagnosis of healed meconium peritonitis. The clinical progression of meconium peritonitis involving the scrotum starts with soft hydroceles at birth and progresses, as the meconium calcifies, to hard "tumor-like" masses at age 4-5 weeks. This paper stresses the sonographic characteristics of meconium peritonitis in the scrotum and the need for confirming radiographs of the abdomen.

Topics: Calcinosis; Diagnosis, Differential; Genital Diseases, Male; Genital Neoplasms, Male; Humans; Infant; Infant, Newborn; Male; Meconium; Peritonitis; Scrotum; Ultrasonography

Topics: Genital Diseases, Male; Humans; Infant, Newborn; Infant, Newborn, Diseases; Male; Meconium; Peritonitis; Scrotum

Topics: Calcinosis; Genital Diseases, Male; Humans; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature, Diseases; Male; Meconium; Peritonitis; Scrotum

Topics: Calcification, Physiologic; Calcinosis; Child; Disease; Genital Diseases, Male; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Male; Meconium; Peritonitis; Scrotum