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Case Reports
. 2019 Nov;40(11):1167-1170.
doi: 10.15537/smj.2019.11.24488.

Scrotal abscess as the first symptom of fatal necrotizing pancreatitis

Nikica Sutalo  1 , Vedran Dragisic, Josip Miskovic, Martina Soljic
Affiliations
Case Reports

Scrotal abscess as the first symptom of fatal necrotizing pancreatitis

Nikica Sutalo et al. Saudi Med J. 2019 Nov.

Abstract

Acute necrotizing pancreatitis represents a severe form of acute pancreatitis, characterized by pancreatic collections and necrosis of the pancreas and surrounding tissues. It is associated with higher rates of morbidity and mortality. Scrotal swelling is a rare complication of acute necrotizing pancreatitis due to the extension of pancreatic necrotic masses involving the inguinal canal and scrotum. We report a case of scrotal swelling as the first sign of unrecognized severe necrotizing pancreatitis with a fatal outcome.

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Figures

Figure 1
Figure 1
Computed tomography showing the intravenous application of contrast. Necrotic pancreatic tissue indicated by arrows (axial view).
Figure 2
Figure 2
Computed tomography with intravenous application of contrast. Gas collection in necrotic peripancreatic tissue and descending along the retroperitoneum as indicated by arrows (coronal view).
Figure 3
Figure 3
Computed tomography showing intravenous application of contrast. Gas collection in necrotic peripancreatic tissue, descending to scrotum as indicated by arrows (sagittal view).
See this image and copyright information in PMC

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