Abstract
Fetal meconium periorchitis (MPO) is rare prenatal diagnosis associated
with meconium peritonitis. The prenatal ultrasound finding consists of
an enlarged fetal scrotum with echogenic fluid and debris. In this
report, we describe a case in which a prenatal diagnosis of MPO was
accurately made at 32 weeks of gestation. The neonate delivered without
complications, underwent immediate evaluation followed by major surgery,
and ultimately had a favorable outcome. An accurate prenatal diagnosis
is important to counsel the patient in a multidisciplinary approach.
This case highlights the prenatal ultrasound findings as well as the
neonatal presentation and the tendency for conservative management by
pediatric urology.