Original Article

Meconium Periorchitis in Infants: Role of Conservative Management in Various Clinical Presentations

Florent Tshibwid A Zeng [1, 2], Doudou Gueye [1], Seynabou Niang [2], Abdourahmane Sall [2], Ndeye Aby Ndoye [1], Gabriel Ngom [1]

[1] Department of Pediatric Surgery, Albert Royer National Children’s Hospital Center, Université Cheikh Anta Diop, Dakar, Senegal [2] Department of Pediatric Surgery, Kaolack Regional Hospital, Kaolack, Senegal

Pediatric Surgery in Tropics. 2024;1(3)

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Abstract

Abstract Meconium periorchitis (MPO) is an uncommon disease secondary to meconium peritonitis. We report two infants with MPO one of whom presented with acute hydrocele while the other was asymptomatic (incidental diagnosis). Both of them did not have any other associated malformations. Abdomino-pelvic plain X-ray and ultrasound was useful in confirming the diagnosis. Both the patients were managed without surgery. There were no complications at 12-months and 2-months of follow-up respectively.