Scrotoschisis in a Central African Newborn
Scrotoschisis in a Central African Newborn作者机构：Clinique Médicale Infantile Raymond Max Siopathis Centre Hospitalo-Universitaire Pédiatrique de Bangui CHUPB Bangui République Centrafricaine Service de Chirurgie Infantile CHUPB Bangui République Centrafricaine Université Marien Ngouabi Brazaville Congo
出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)
年 卷 期：2022年第12卷第2期
页 面：347-352页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Scrotoschisis Neonatal Sepsis Bangui
摘 要：Scrotoschisis, a rare congenital disease, is defined by an extracorporeal ectopic testis eviscerated as a result of a scrotal wall defect. We report a case in a Central African newborn, born via vaginal delivery, to non-consanguineous parents, admitted at three days of life from a level II health center. The pregnancy was poorly monitored without ultrasound. On admission, the temperature was 40ºC, he was polypneic and tachycardic. There was a congenital defect of the scrotal wall with exteriorization of the left testis and the right testis was normal. The blood count showed pancytopenia and the blood culture isolated amiklin-sensitive Klebseilla pneumonia. The diagnosis of scrotoschisis associated with sepsis was made. A tri-antibiotic therapy associated with general resuscitation followed by testicular transposition and orchidopexy performed on the eleventh day of life did not prevent the fatal outcome three hours after the surgery. This observation confirms the rarity of the malformation and the benefit of an early management.
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