Meconium Periorchitis and Pathological Associations With Testicular and Scrotal Development: Three Case Reports and Review.

Meconium periorchitis, while often benign, has been associated with testicular abnormalities and scrotal defects. We present three cases exhibiting these associations. Case one presented with a right neonatal torsion. Exploration demonstrated a necrotic right testicle with an obliterated cord and a meconium-stained left testicle without torsion that later atrophied. Cases 2 and 3 both presented at birth with bilateral scrotoschisis, transverse ectopia, and meconium staining. Meconium periorchitis may have a role in testicular loss and scrotal defects. The resulting defects may lead to transverse testicular ectopia and scrotoschisis. If discovered in utero, a prompt testicular exam may be warranted after birth.