Ruptured appendicitis presenting as acute scrotal swelling in a 23-month-old toddler

Abstract

Background: Acute appendicitis is a common disease process in which timely diagnosis minimizes the risk of complications.

Objectives: This case illustrates one example of the range of clinical presentations of young children with acute appendicitis.

Case report: We describe a case in a young child presenting with an inguinal and scrotal mass that was ultimately due to perforated appendicitis with abscess formation.

Conclusions: In the emergency department evaluation of these children with inguinal or scrotal complaints, we maintain that intra-abdominal processes should be included in the differential.