morphine and Testicular-Neoplasms

Two cases of meconium periorchitis respectively in a ten-day- and a five-month-old infant are reported. The presenting symptom was a scrotal mass, isolated in one case and associated with pain and inflammation in the other case. Intraoperative histological diagnosis allowed conservative surgery in one case.. About 40 cases of scrotal manifestations of an intrauterine perforation of the gastrointestinal tract are reported in the literature. In cases with associated intraperitoneal calcifications, the diagnosis is easy and surgical exploration may be avoided, spontaneous resolution being the rule. However, in half of the cases, a scrotal mass is the only manifestation and raises the question of a testicular tumor.. Unfamiliarity with this unusual entity may lead to unnecessary orchiectomy.

Topics: Diagnosis, Differential; Humans; Infant; Infant, Newborn; Male; Meconium; Orchiectomy; Orchitis; Peritonitis; Remission, Spontaneous; Testicular Neoplasms

The diagnosis of meconium peritonitis has received little attention in the pathology literature. Morphologic features of meconium peritonitis can be confusing to the pathologist unfamiliar with this specific entity, especially in case of extraperitoneal lesions presenting clinically as tumor nodules in the tunica vaginalis. Unfamiliarity with this entity can lead to unnecessary removal of the testis. This paper describes four cases of meconium peritonitis and reviews the literature on the pathology, evolution and diagnostic features of the disease, with emphasis on the healed stage, presenting as a tumor mass in the inguinal canal or tunica vaginalis.

Topics: Calcinosis; Child, Preschool; Diagnosis, Differential; Female; Humans; Infant; Infant, Newborn; Male; Meconium; Peritonitis; Testicular Neoplasms

Topics: Calcinosis; Diagnosis, Differential; Humans; Infant, Newborn; Male; Meconium; Peritonitis; Radiography; Scrotum; Teratoma; Testicular Hydrocele; Testicular Neoplasms