Meconium periorchitis. Two case reports.

Case reports. - Two cases of meconium periorchitis respectively in a ten-da y- and a five-month-old infant are reported. The presenting symptom was a s crotal mass, isolated in one case and associated with pain and inflammation in the other case. Intraoperative histological diagnosis allowed conservat ive surgery in one case. Comments, -About 40 cases of scrotal manifestations of an intrauterine perf oration of the gastrointestinal tract are reported in the literature. In ca ses with associated intraperitoneal calcifications, the diagnosis is easy a nd surgical exploration may be avoided, spontaneous resolution being the ru le. However, in half of the cases, a scrotal mass is the only manifestation and raises the question of a testicular tumor. Conclusion, - Unfamiliarity with this unusual entity may lead to unnecessar y orchiectomy. (C) 2001 Editions scientifiques et medicales Elsevier SAS.