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Clin Case Rep. 2016 Jul 27;4(9):866-9. doi: 10.1002/ccr3.619. eCollection 2016 Sep.

An atypical case of meconium periorchitis as paratesticular mass in a neonate.

Clinical case reports

Harnam Singh Rekhi, Sushil Kumar Mittal, Srinath Reddy Mannem, Sahil Arora, Kaushal Seth, Sathya Pakkiri, Ravitej Singh, Saryu Gupta, Manoj Mathur

Affiliations

  1. General Surgery Department Government Medical College and Rajindra Hospital Patiala Punjab India.
  2. Radiodiagnosis Government Medical College and Rajindra Hospital Patiala Punjab India.

PMID: 27648264 PMCID: PMC5018590 DOI: 10.1002/ccr3.619

Abstract

A 20-day-old boy was presented with left scrotal swelling, clinically diagnosed as hydrocele. Ultrasonographic findings suggested hydrocele with paratesticular mass. Intraoperatively we found paratesticular mass, separate from left testis. Specimen revealed fibroconnective tissue with mucoid degeneration and focal areas of calcification suggesting meconium periorchitis. It is important to consider meconium periorchitis as one of the etiologies, thereby avoiding unnecessary orchidectomies.

Keywords: Hydrocele; meconium periorchitis; orchidectomy; paratesticular mass; scrotal mass

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