Sonographic diagnosis in a rare aetiology of neonatal scrotal swellings : a case report of congenital nephrotic syndrome

2016
journal article
article
dc.abstract.enBACKGROUND: 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.pl
dc.contributor.authorGrover, Shabnam Bhandaripl
dc.contributor.authorKumar, Nishithpl
dc.contributor.authorGrover, Hemalpl
dc.contributor.authorTaneja, Dinesh Kumarpl
dc.contributor.authorKatyan, Amitpl
dc.date.accessioned2017-05-10T05:58:57Z
dc.date.available2017-05-10T05:58:57Z
dc.date.issued2016pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 468pl
dc.description.physical465-468pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume81pl
dc.identifier.doi10.12659/PJR.898088pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/40325
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.encongenital abnormalitiespl
dc.subject.eninfantpl
dc.subject.ennewbornpl
dc.subject.ennephrotic syndromepl
dc.subject.enorchitispl
dc.subject.enultrasonographypl
dc.subject.encongenital nephrotic syndromepl
dc.subject.enneonatal scrotal swellingpl
dc.subtypeArticlepl
dc.titleSonographic diagnosis in a rare aetiology of neonatal scrotal swellings : a case report of congenital nephrotic syndromepl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
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.
dc.contributor.authorpl
Grover, Shabnam Bhandari
dc.contributor.authorpl
Kumar, Nishith
dc.contributor.authorpl
Grover, Hemal
dc.contributor.authorpl
Taneja, Dinesh Kumar
dc.contributor.authorpl
Katyan, Amit
dc.date.accessioned
2017-05-10T05:58:57Z
dc.date.available
2017-05-10T05:58:57Z
dc.date.issuedpl
2016
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 468
dc.description.physicalpl
465-468
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
81
dc.identifier.doipl
10.12659/PJR.898088
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/40325
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
congenital abnormalities
dc.subject.enpl
infant
dc.subject.enpl
newborn
dc.subject.enpl
nephrotic syndrome
dc.subject.enpl
orchitis
dc.subject.enpl
ultrasonography
dc.subject.enpl
congenital nephrotic syndrome
dc.subject.enpl
neonatal scrotal swelling
dc.subtypepl
Article
dc.titlepl
Sonographic diagnosis in a rare aetiology of neonatal scrotal swellings : a case report of congenital nephrotic syndrome
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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