Meconium peritonitis results from in utero perforation of the bowel an
d subsequent spillage of meconium into the peritoneal cavity. Free com
munication of the peritoneal space with the processus vaginalis during
gestation permits formation of a meconium hydrocele. Meconium hydroce
le has been reported in the newborn scrotum but to our knowledge there
has been no previous report of meconium hydrocele in the labium of a
female neonate. The predominance of meconium hydrocele in the male inf
ant may be due to the obliteration of the processus vaginalis occurrin
g later in the male than in the female fetus.