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.