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Case Reports
. 2020 Apr 7;2020(4):rjaa058.
doi: 10.1093/jscr/rjaa058. eCollection 2020 Apr.

Scrotal abscess after a perforated appendicitis

Jonathan Keyes  1 , Adela T Casas-Melley  1   2 , Cherry Liu  1 , Monica S Epelman  1   3 , Pamela I Ellsworth  1   4
Affiliations
Case Reports

Scrotal abscess after a perforated appendicitis

Jonathan Keyes et al. J Surg Case Rep. .

Abstract

Although perforated appendicitis in pediatric patients can result in a diverse array of complications, scrotal abscess is a rarely documented phenomenon. We present a case of acute scrotum after laparoscopic appendectomy. A retrospective review of prior literature on scrotal abscess secondary to perforated appendicitis was performed via PubMed to review the clinical presentation, etiology, type of treatment and outcome of pediatric patients. Patients without a patent processus vaginalis still require vigilant follow-up postoperatively to ensure timely intervention if scrotal pain develops during recovery.

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Figures

Figure 1
Figure 1
Transverse ultrasound image through the left hemiscrotum shows a complex fluid collection (arrows) including a few internal foci of gas (arrowheads) and debris.
Figure 2
Figure 2
Enhanced axial CT scan image through the scrotum re-demonstrates the complex left hemiscrotal collection (arrows) with internal locules of gas (arrowheads).
See this image and copyright information in PMC

References

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    1. Bingol-Kologlu M, Fedakar M, Yagmurlu A, Dindar H, Gokcora IH. An exceptional complication following appendectomy: acute inguinal and scrotal suppuration. Int Urol Nephrol 2006;38:663–5. - PubMed
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    1. Kynes JM, Rauth TP, McMorrow SP. Ruptured appendicitis presenting as acute scrotal swelling in a 23-month-old toddler. J Emerg Med 2012;43:47–9. - PubMed
    1. Mansoor K, Samujh R, Alalayet YF. Scrotal abscess with a rare cause. J Indian Assoc Pediatr Surg 2009;14:119–20. - PMC - PubMed

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