title: Unusual presentation of sigmoid diverticulitis as an acute scrotum.
abstract: We report a case of inflammation of the spermatic cord and testicle resulting from a perforated diverticulum of the sigmoid colon. Management included sigmoid resection with diversion, right orchiectomy and débridement of the right groin. To our knowledge this is the first reported case of retroperitoneal necrotizing fasciitis presenting initially as an acute scrotum.
authors.affiliation: Department of Urology, Henry Ford Hospital, Detroit, Michigan.
authors.forename: C G
authors.initials: CG
authors.lastname: Klutke
authors.forename: B J
authors.initials: BJ
authors.lastname: Miles
authors.forename: F
authors.initials: F
authors.lastname: Obeid
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement; D004239:Diverticulitis, Colonic / Q000150:complications* / Q000601:surgery; D005208:Fasciitis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery; D008297:Male; D009336:Necrosis; D009919:Orchiectomy; D009920:Orchitis / Q000209:etiology* / Q000601:surgery; D012810:Sigmoid Diseases / Q000150:complications* / Q000601:surgery; D013085:Spermatic Cord / Q000473:pathology