Introduction
Fetal meconium periorchitis (MPO) is an uncommon finding in utero; the
most common presentation is an enlarged scrotum with echogenic debris
seen on ultrasound. MPO can be secondary to fetal bowel perforation
secondary to thick meconium which can be seen in cystic
fibrosis(1). Other causes of bowel perforation are
bowel anomalies and an ischemic event.
Recognizing this rare diagnosis prenatally is crucial for appropriate
care coordination and planned delivery at an institution with access to
neonatology, pediatric surgery, and urology services to prevent delay in
postnatal diagnosis as well as unnecessary interventions.