Background: Scrotoschisis is an extremely rare congenital anomaly which is also known as extracorporeal testicular ectopia. Only few cases have been reported in the literature.
Case report: In this anomaly, testis was eviscerated through a defect in the scrotal wall. A newborn male baby born by full term vaginal delivery weighing 2.5kg presented with respiratory distress due to meconium aspiration. After resuscitation, baby developed pneumothorax on right side for which intercostal drainage (ICD) tube was
inserted. On clinical examination, it was found that left testis was exposed through a defect of 2x1cm in the anterior aspect of left side of the scrotum. Testis was of normal size and was meconium stained. Right testis was normal. No associated anomalies were found. Antenatal and family history was not significant. Under local
anaesthesia, defect wall was widened, thorough wash given to the testis with warm normal saline, testis was fixed into the scrotal cavity and the defect closed in layers after keeping glove drain. Drain was removed after 48 hours and ICD was removed after 5days. Patient had uneventful recovery. Ultrasound abdomen was done before
discharge, which was normal.
Key words: Scrotoschisis; Scrotal sac; evisceration
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