title: Scrotal abscess following appendectomy.
abstract: 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.
authors.affiliation: Department of Surgery, UCLA School of Medicine, Los Angeles, CA, 90095, USA.
authors.forename: A
authors.initials: A
authors.lastname: Thakur
authors.forename: T
authors.initials: T
authors.lastname: Buchmiller
authors.forename: D
authors.initials: D
authors.lastname: Hiyama
authors.forename: A
authors.initials: A
authors.lastname: Shaw
authors.forename: J
authors.initials: J
authors.lastname: Atkinson
mesh_terms: 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