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Conservative management after prenatal ultrasound diagnosis of meconium periorchitis

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Abstract

Meconium periorchitis is caused by the leakage of meconium from a bowel perforation into the peritoneal cavity via a patent processus vaginalis into the scrotal sac during fetal life or in the early postnatal period. Intrauterine meconium peritonitis causes sterile inflammatory response and calcification. Here, we describe a prenatally diagnosed case of meconium periorchitis. During the ultrasound scan at 29 weeks’ gestation, enlargement of the scrotum with many small hyperechogenic masses and normal anatomy of testis was observed. Our case is the 11th prenatally diagnosed case presented in the worldwide literature and the first one described in Poland. This case confirms the latest tendency for the conservative management of meconium periorchitis and an asymptomatic postnatal course.

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Conflict of interest

None.

Ethical standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000(5). Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland

    Aleksandra Stupak, Arkadiusz Krzyzanowski, Anna Semczuk-Sikora, Izabela Dymanowska-Dyjak, Tomasz Geca, Adrianna Kondracka & Anna Kwasniewska

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  1. Aleksandra Stupak
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  2. Arkadiusz Krzyzanowski
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  3. Anna Semczuk-Sikora
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  4. Izabela Dymanowska-Dyjak
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  5. Tomasz Geca
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  6. Adrianna Kondracka
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  7. Anna Kwasniewska
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Correspondence to Aleksandra Stupak.

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Stupak, A., Krzyzanowski, A., Semczuk-Sikora, A. et al. Conservative management after prenatal ultrasound diagnosis of meconium periorchitis. J Med Ultrasonics 41, 499–505 (2014). https://doi.org/10.1007/s10396-014-0538-8

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  • DOI: https://doi.org/10.1007/s10396-014-0538-8

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