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Journal of Indian Association of Pediatric Surgeons logoLink to Journal of Indian Association of Pediatric Surgeons
. 2025 Jun 30;30(5):684. doi: 10.4103/jiaps.jiaps_108_25

Meconium Peri-orchitis: A Rare Sequela of Intrauterine Intestinal Perforation

Josy Thomas 1, Shailesh Solanki 1,, Nitin James Peters 1, Jai Kumar Mahajan 1
PMCID: PMC12425369  PMID: 40950637

A 2-year-old asymptomatic boy was evaluated for palpable para-testicular lesions. X-ray [Figure 1] showed scrotal calcification (red arrows). History revealed that antenatal ultrasound had reported peritoneal calcifications.

Figure 1.

Figure 1

X-ray pelvis showing calcification (Red arrows) in bilateral scrotum (Right > Left)

Therefore, gathering an antenatal history is crucial for such a child; neoplasms are less likely since this condition arises from intrauterine meconium peritonitis. One should avoid excessive investigations, particularly invasive ones such as fine needle aspiration cytology and biopsy.[1,2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the parents have given their consent for images and other clinical information to be reported in the journal. The parents understand that his name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.

Conflicts of interest

There are no conflicts of interest.

Funding Statement

Nil.

REFERENCES

  • 1.Khoury MK, Twickler D, Santiago-Munoz P, Schindel D. Meconium periorchitis. J Pediatr Surg Case Rep. 2021;65:101741. [Google Scholar]
  • 2.Durmuş G, Boybeyi-Türer Ö, Gharibzadeh-Hizal M, Ekinci S, Kiper N. Meconium periorchitis: An incidentally diagnosed rare entity during inguinal herniorraphy. Turk J Pediatr. 2018;60:612–4. doi: 10.24953/turkjped.2018.05.025. [DOI] [PubMed] [Google Scholar]

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