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"Scrotal pathology is a comprehensive practical guide to the management of patients who present with scrotal disorders. Introductory chapters consider imaging instrumentation, clinical evaluation, and clinical and imaging anatomy. The full range of disorders is then discussed in individual chapters organized according to clinical presentation. All clinical and imaging aspects are covered in depth, with full description of symptoms and explanation of the value of different clinical tests and imaging modalities. In addition, underlying histopathological features are presented and correlated with imaging features in order to clarify their pathological basis. For each disorder, therapeutic strategies are discussed and appraised. Adults and children are considered separately whenever necessary, bearing in mind that they often present essentially different scrotal pathology. The many images are all of high quality and were obtained using high-end equipment."

"Telah dilaporkan sebuah kasus periorkitis mekonium pada seorang bayi berusia 2 bulan. Penderita dilahirkan dengan normal dan ditemukan massa intraskrotum yang semakin mengeras dalam beberapa minggu. Secara klinis dan hasil pemeriksaan ultrasonografi mengesankan suatu keganasan, maka dilakukan orkidektomi. Pada pemeriksaan mikroskopik didapatkan nodul-nodul dengan stroma miksoid yang dipisahkan oleh jaringan ikat dan mengandung banyak kalsifi kasi. Periorkitis mekonium merupakan suatu reaksi infl amasi terhadap mekonium di dalam rongga skrotum. Hal ini terjadi akibat perforasi traktus gastrointestinalis intrauterine. Massa solid paratestikular, baik jinak maupun ganas, sulit dibedakan melalui pemeriksaan ultrasonografi , sehingga diperlukan biopsi jaringan atau pemeriksaan potong beku untuk diagnosis.

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A case of meconium periorchitis in a 2-month-old boy is reported. The patient was delivered normally, only a scrotal mass was noted which became harder in weeks. Clinical and intrauterine ultrasonographic fi ndings were suggestive of a neoplasm and orchidectomy was performed. Microscopic examination revealed separate nodules of myxoid stroma with varying amounts of calcifi cation separated by fi brous septa. The unexpected diagnosis of meconium periorchitis was confi rmed. This condition is due to infl ammatory reaction from the meconium within the scrotal sac and resulted from an intrauterine perforation of the gastrointestinal tract. Since solid benign or malignant paratesticular masses cannot be differentiated by ultrasonography, tissue biopsy or fresh frozen tissue examination is required for diagnosis. "