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Scrotoschisis in a Central African Newborn

Open Journal of Pediatrics 2022年第2期12卷 347-352页

作者： C. J. Kiteze Nguinzanemou J. E. Palet Kosh-Komba D. S. Ouaimon B. O. Bogning Mejiozem R. L. J. Kombaya E. Kiteze Bandassa G. F. Houndjahoue J.-C. Gody G. Moyen 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

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.

关键词： Scrotoschisis Neonatal Sepsis Bangui

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

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Open Journal of Pediatrics 2021年第2期11卷 238-242页

作者： Balla Keita Mamadou Alpha Touré Mamadou Madiou Barry Mohamed Lamine Sacko et Lamine Camara Pediatric Surgery Department of the Donka CHU National Hospital Conakry Guinea

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 li... 详细信息

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.

关键词： Scrotoschisis Congenital Anomaly Etiology

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