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Pneumoscrotum: A rare presentation of Neonatal Necrotizing Entero-Colitis

Arulprakasam R¹, Shankar M², Prabhuraj A¹, Kanimozhi P¹, Selvakumar M², Kumaravel K S¹, Sampathkumar D^1
1Departments of Pediatrics, Govt. Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India, ²Pediatric Surgery, Govt. Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India

Address for Correspondence: K. S. Kumaravel, 191A, Shankar Nagar, Salem-636007, Tamil Nadu, India.
Email: kumaravelks@rediffmail.com
Keywords : Neonate, Enetrocolitis, Abdominal distension, Air leak.
Question:
A 3-day-old, 32-weeker male neonate with a birth weight of 1340 grams, was admitted for respiratory distress and abdominal distension. On examination, the abdomen was distended with bilateral scrotal swelling. Transillumination was observed in the scrotum. X-ray showed features of neonatal necrotizing entero-colitis (NNEC) with free air in the peritoneum and scrotum. As the neonate was in a moribund state, bilateral flank drain insertion was done and the neonate expired the next day.

Figure 1. X-ray showing Pneumoperitoneum and Pneumoscrotum.

What is the diagnosis?