Scrotoschisis associated with meconium periorchitis

Scrotoschisis is a rare congenital defect in the scrotal wall resulting in testicular exposure or exstrophy. We report the case of a newborn presenting with a large scrotal wall defect exposing both testicles. The tunica vaginalis appeared to be intact on both sides. Although the pathogenesis of scrotoschisis remains unclear, a proposed mechanism for its occurrence and the management in this case are presented in detail.