Welcome to the Polish Journal of Radiology

Szanowni Państwo,

Poniżej zamieszczone zostały informacje dotyczące  składki członkowskiej PLTR i prenumeraty "Polish Journal of Radiology"
  • Składka członkowska za jeden rok wynosi 200 PLN dla lekarzy i 20 PLN dla techników elektroradiologii
  • Składka dla rodzin radiologicznych wynosi dla drugiej osoby - 50 PLN bez zniżek   prenumeraty PJR z pełnym prawem przysługujących
  • Składka dla emerytowanych radiologów wynosi 100 PLN z prenumeratą PJR
  • Członkowie Honorowi PLTR - bez opłat... read more

Published: 2016-09-29

Sonographic Diagnosis in a Rare Aetiology of Neonatal Scrotal Swellings: A Case Report of Congenital Nephrotic Syndrome

Shabnam Bhandari Grover, Nishith Kumar, Hemal Grover, Dinesh Kumar Taneja, Amit Katyan

(Department of Radiology and Imaging, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India)

Pol J Radiol 2016; 81:465-468

DOI: 10.12659/PJR.898088

BACKGROUND: Common etiologies of scrotal swelling in neonates include hydrocoele, inguinal hernia and testicular torsion; less common is epididymo-orchitis. Congenital nephrotic syndrome (CNS), a rare entity, is known to present as progressive renal failure and its leading presentation with scrotal involvement has not been reported.
CASE REPORT: We report a rare case of CNS with primary clinical presentation as scrotal cellulitis and epididymo-orchitis. In this neonate, scrotal and abdominal ultrasound examination was performed and the laboratory data were obtained.
Sonography revealed bilaterally enlarged echogenic kidneys, testis and epididymis with echogenic peritoneal fluid tracking into both scrotal sacs. Laboratory data revealed proteinuria and severe depletion of serum IgG. Culture of the peritoneal fluid showed gram-negative organisms. A final diagnosis of CNS, complicated with peritonitis tracking into the scrotal sacs was arrived at.
CONCLUSIONS: CNS may have a rare presentation with distracting symptoms of scrotal cellulitis and epididymo-orchitis, as seen in our patient. However, diligent use of abdomino-scrotal sonography, supported by relevant laboratory data can clinch the accurate diagnosis.

Keywords: Congenital Abnormalities, Infant, Newborn, nephrotic syndrome, Orchitis, Ultrasonography, congenital nephrotic syndrome, Neonatal Scrotal Swelling

Related Articles (0)

Coming Soon...

Published: 2016-09-26

Direct Needle Puncture and Embolization of Splenic Artery Pseudoaneurysm in Case of Chronic Atrophic Calc...

Amit Shrivastava, Jagadeesh Singh Rampal, D. Nageshwar Reddy, Guduru Venkat Rao

Pol J Radiol 2016; 81:462-464

DOI: 10.12659/PJR.898000

Published: 2016-09-23

Serum ACE Level in Sarcoidosis Patients with Typical and Atypical HRCT Manifestation

Shahram Kahkouee, Katayoon Samadi, Ali Alai, Atefeh Abedini, Lida Rezaiian

Pol J Radiol 2016; 81:458-461

DOI: 10.12659/PJR.897708