Atypical sonographic presentation of fetal unilateral inguinoscrotal hernia in a multiple gestation

Sharma, Seema
Perni, Sriram C.
Predanic, Mladen
Kalish, Robin B.
Zervoudakis, Ioannis A.
Chasen, Stephen T.

¹ Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, U.S.A.
² Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, New York, U.S.A.

^*Corresponding author: Sriram C. Perni, MD Division of Maternal- Fetal Medicine Department of Obstetrics and Gynecology Weill Medical College of Cornell University 525 East 68^th Street, J-130 New York, New York United States of America

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Received October 28, 2003. Revised January 24, 2004. Accepted January 26, 2004.

Journal of Perinatal Medicine 32(4):p 378-380, 2004.

Ultrasonographic demonstration of bowel peristalsis within the fetal scrotum has been described as a pathognomonic sign of inguinoscrotal bowel herniation. We present the sonographic features and neonatal outcome of a fetus with a scrotal mass seen at 34 weeks of gestation in a twin pregnancy. This mass was diagnosed postnatally as a non-reducible inguinoscrotal hernia, in which bowel peristalsis had not been observed by real-time ultrasound in utero.