TITLE:
Scrotoschisis in a Central African Newborn
AUTHORS:
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
KEYWORDS:
Scrotoschisis, Neonatal Sepsis, Bangui
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.2,
May
9,
2022
ABSTRACT: 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.