EJMCR. 2018; 2(January 2018): 16-18

Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report

Authors: Rebecca Garland, Yadlapalli Kumar, Simon Thorogood, Paul Munyard.

ABSTRACT

Background: Scrotal swelling in the neonatal period is a common finding with a range of underlying causative processes, ranging from the benign to surgical emergencies. This case highlights some of the diagnostic difficulties in an unusual clinical presentation. Case Presentation: We describe a case of antenatal intestinal perforation presenting as scrotal swelling in a newborn of 35 weeks gestation. Antenatal ultrasound scans had not raised suspicion and there was no abdominal distension apparent in the immediate neonatal period. Clinical impression was initially of testicular torsion prior to radiological assessment, which demonstrated pneumoscrotum and free peritoneal gas requiring urgent surgery. Conclusion: It is important to consider intra-abdominal pathology in association with a patent processus vaginalis as a cause for scrotal swelling in the newborn, in addition to urological causes. Following surgical management, it is important to exclude cystic fibrosis as an underlying cause for meconium ileus.

Keywords:
Intestinal perforation; scrotal swelling; neonate; case report


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Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report


Authors
Rebecca Garland
Department of Paediatric Neurology, Bristol Children's Hospital, Bristol,BS2 8AE, United Kingdom
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Yadlapalli Kumar
Department of Child Health, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, TR1 3LJ, United Kingdom
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Simon Thorogood
Department of Clinical Imaging, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, TR1 3LJ, United Kingdom
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Paul Munyard
Department of Child Health, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, TR1 3LJ, United Kingdom
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Correspondence to:
Rebecca Garland. Rebecca Garland, Department of Paediatric Neurology, Bristol Children's Hospital, Bristol,BS2 8AE, United Kingdom; becky.garland@gmail.com

Publication history
Published online 01 Jan 1970
Received 15 Dec 2017
Revised 09 Jan 2018
Accepted 11 Jan 2018
Published in print 20 Feb 2018

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Pubmed Style

Garland R, Kumar Y, Thorogood S, Munyard P. Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. EJMCR. 2018; 2(January 2018): 16-18. doi:10.24911/ejmcr/2/3


Web Style

Garland R, Kumar Y, Thorogood S, Munyard P. Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. http://www.ejmcr.com/?mno=285807 [Access: June 21, 2018]. doi:10.24911/ejmcr/2/3


AMA (American Medical Association) Style

Garland R, Kumar Y, Thorogood S, Munyard P. Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. EJMCR. 2018; 2(January 2018): 16-18. doi:10.24911/ejmcr/2/3


Vancouver/ICMJE Style

Garland R, Kumar Y, Thorogood S, Munyard P. Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. EJMCR. (2018), [cited June 21, 2018]; 2(January 2018): 16-18. doi:10.24911/ejmcr/2/3


Harvard Style

Garland, R., Kumar, Y., Thorogood, S. & Munyard, P. (2018) Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. EJMCR, 2 (January 2018), 16-18. doi:10.24911/ejmcr/2/3


Turabian Style

Garland, Rebecca, Yadlapalli Kumar, Simon Thorogood, and Paul Munyard. 2018. Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. European Journal of Medical Case Reports, 2 (January 2018), 16-18. doi:10.24911/ejmcr/2/3


Chicago Style

Garland, Rebecca, Yadlapalli Kumar, Simon Thorogood, and Paul Munyard. "Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report." European Journal of Medical Case Reports 2 (2018), 16-18. doi:10.24911/ejmcr/2/3


MLA (The Modern Language Association) Style

Garland, Rebecca, Yadlapalli Kumar, Simon Thorogood, and Paul Munyard. "Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report." European Journal of Medical Case Reports 2.January 2018 (2018), 16-18. Print. doi:10.24911/ejmcr/2/3


APA (American Psychological Association) Style

Garland, R., Kumar, Y., Thorogood, S. & Munyard, P. (2018) Scrotal swelling as the presenting feature of antenatal intestinal perforation with meconium pseudocyst: a case report. European Journal of Medical Case Reports, 2 (January 2018), 16-18. doi:10.24911/ejmcr/2/3


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