A Case of Meconium Hydrocele Presenting as Inguinal Mass in a Female Newborn.

Kim,  Ja Young; Lim,  Jun Ho; Jung,  Jin Young; Kim,  Eun Ryoung; Lee,  Kwang Chan; Kang,  You Mee; Woo,  Jeong Joo

Case Report

Journal of the Korean Society of Neonatology 2005;12(1):127-132.
Published online May 1, 2005.

A Case of Meconium Hydrocele Presenting as Inguinal Mass in a Female Newborn.

Ja Young Kim, Jun Ho Lim, Jin Young Jung, Eun Ryoung Kim, Kwang Chan Lee, You Mee Kang, Jeong Joo Woo

¹Department of Pediatrics, Sung-Ae General Hospital, Seoul, Korea. eunicu@hotmail.com
²Department of Surgery, Sung-Ae General Hospital, Seoul, Korea.
³Department of Pathology, Sung-Ae General Hospital, Seoul, Korea.
⁴Department of Radiology, Eulji Hospital, University of Eulji College of Medicine, Seoul, Korea.

여아에서 서혜부 종괴로 나타난 태변성 음낭수종 1례

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Abstract

Meconium peritonitis results from in-utero perforation of gastrointestinal tract, with subsequent leakage of meconium into the peritoneal cavity. Patent processus vaginalis of male or female fetus may lead to migration of meconium into inguinal canal, and these infants may present meconium filled hydroceles at birth. The predominance of meconium hydrocele in the male infant may be due to the obliteration of processus vaginalis occuring later than in the female fetus. We report a rare case of bilateral meconium hydrocele in the female newborn, which mimic clinical symptoms and ultrasonographic findings of incarcerated hernia.

Key Words: Meconium hydrocele; Meconium peritonitis; Inguinal mass; Newborn