The Scrotoschisis about a Case in the Pediatric Surgery Department of the Donka National Hospital

Balla Keita,Mamadou Alpha Touré,Mamadou Madiou Barry,Mohamed Lamine Sacko Et Lamine Camara

doi:10.4236/ojped.2021.112023

Abstract

Introduction: Scrotoschisis is a very rare congenital defect of the scrotum characterized by the exteriorization of one or two testes. We report a case of right scrotoschisis in a newborn as well as a review of the literature for an approach of probable etiology. Patient and Observation: A newborn baby of 8 hours of life, weighing 3200 g was referred to our department for a right scrotal defect with exteriorization of the testis associated with fluid swelling of the left bursa. The 18-year-old mother, primiparous and primigeste followed all the prenatal consultations with eutocic delivery. After clinical investigation the diagnosis of right scrotosisis and left hydrocele was retained. Surgical treatment was carried out by primary closure after orchidopexy and exploration of the contralateral bursa, the content of which was calcified meconium bathed in a yellowish liquid. The post-operative consequences were simple. Conclusion: Scrotoschisis is an extremely rare birth defect whose etiology is poorly understood. However, it could be the cause of meconium peritonitis secondary to a scarred fatal intestinal perforation.

Highlights

Scrotoschisis is a very rare congenital defect of the scrotum characterized by the exteriorization of one or two testes
We report a case of right scrotoschisis in a newborn as well as a review of the literature for an approach of probable etiology
Patient and Observation: A newborn baby of 8 hours of life, weighing 3200 g was referred to our department for a right scrotal defect with exteriorization of the testis associated with fluid swelling of the left bursa

Summary

Introduction

Scrotoschisis is a congenital anomaly of the scrotum associated with the exteriorization of one or both testes. This very rare anomaly was first described by Von der Leyen in 1963 [1]. 10 cases were reported in the literature until 2016 [2]. Several theories have been put forward to explain its occurrence, the most accepted nowadays is meconium peri orchitis. Late rupture of the scrotal skin secondary to an inflammatory reaction is caused by exposure to meconium through a permeable peritoneovaginal duct [4]. We report here a rare case of unilateral scrotoschisis in a newborn baby as well as a review of the literature on the probable etiology of this malformation

Patient and Observation

Discussion

Conclusion