Left Scrotal Abscess Complicating Laparoscopic Appendicectomy

An exceptional complication following appendectomy: Acute inguinal and scrotal suppuration

“…As far as we know scrotal abscess following both open and laparoscopic appendectomy has been reported with only eight cases in the literature in English [4][5][6][7][8][9][10]. However, both associations of epididymo-orchitis in male patients and inguinal abscess in female patients with appendicitis have not been mentioned previously.…”

“…Presence of free pus in the peritoneal cavity and patency of processus vaginalis easily explains the presentation with inguino-scrotal suppuration in the first three cases. Surprisingly in all cases in the literature [4][5][6][7][8][9][10], a scrotal abscess was not suspected despite scrotal erythema and tenderness. Acute scrotal pain and swelling in children is commonly attributed to torsion of the testis or of the testicular appendage and epididymo-orchitis.…”

“…Tracking of pus and microorganisms from an intra-abdominal source to scrotum through a patent processus vaginalis is rare and mostly occurs in children. Therefore, male patients may present with scrotal inflammation both as a sign of and as an infrequently described complication of appendicitis [4][5][6][7][8][9][10][12][13][14].…”

“…Extra-abdominal complications, such as inguinal and scrotal inflammation, however, are rare. Scrotal abscess following appendectomy has been reported in few cases and regarded as a unique complication previously [3][4][5][6][7][8][9][10]. We report a small series of children presented with acute inguinal or scrotal abscess and epididymo-orchitis, following appendicitis.…”

A Right Scrotal Abscess and Foreign Body Ingestion in a Schizophrenic Patient

“…In general, the patient with a tuberculuous epididymal abscess will report a longer duration of symptoms and will exhibit less scrotal tenderness on examination than with an abscess of bacterial origin (10). Scrotal abscess also has been described secondary to an acutely perforated appendix and as a complication of laparoscopic appendectomy (11,12). Rare causes include abscess formation secondary to self-induced "scrotal inflation" for autoerotic purposes, and as a complication of a rectal foreign body (13,14).…”