Scrotal abscess following appendectomy.
Postoperative infectious complications in children following perforated appendicitis present in diverse ways. We present two unusual complications of appendectomy for perforated appendicitis: an acute scrotum after open and laparoscopic appendectomy. A retrospective review of two cases of scrotal abscess following appendectomy at our hospital as well as a MEDLINE search was performed to review the clinical presentation, etiology, type of treatment, and outcome of these patients. Although scrotal inflammation occurring postoperatively in a patient with perforated appendicitis may be due to an incarcerated hernia, it is much more likely to be due to a scrotal abscess. Patients without a patent processus vaginalis or inguinal hernia at initial presentation of peritonitis must be carefully followed in the postoperative period and explored early if testicular or scrotal pain becomes manifest.
Thakur
A
A
Department of Surgery, UCLA School of Medicine, Los Angeles, CA, 90095, USA.
Buchmiller
T
T
Hiyama
D
D
Shaw
A
A
Atkinson
J
J
D000038:Abscess / Q000209:etiology*; D001062:Appendectomy / Q000009:adverse effects* / Q000379:methods; D002648:Child; D005832:Genital Diseases, Male / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D012189:Retrospective Studies; D012611:Scrotum