title: Scrotal abscess originating from appendicitis: a case report.
abstract: There are numerous reports concerning the presentation of appendicitis as a urologic problem. However, scrotal abscess originating from appendicitis has rarely been described. We report a right scrotal abscess due to a preceding retroperitoneal abscess originating from retrocecal appendicitis. The scrotal abscess developed progressively following appendectomy. Scrotal exploration was carried out under the presumptive diagnosis of abscessed epididymo-orchitis. However, the patient remained febrile and had productive pus drained from the scrotum after exploration. Abdominal computerized tomography demonstrated that a large retroperitoneal abscess had accumulated at the appendectomy site. Percutaneous drainage of the retroperitoneal abscess resulted in resolution of the scrotal abscess. In cases of scrotal abscess following previous abdominal events (e.g. appendectomy), we recommend that abdominal origins should be carefully surveyed before scrotal exploration.
authors.affiliation: Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Yung-Chin
authors.initials: YC
authors.lastname: Lee
authors.forename: Wen-Jeng
authors.initials: WJ
authors.lastname: Wu
authors.forename: Shu-Pin
authors.initials: SP
authors.lastname: Huang
authors.forename: Hsiu-Nan
authors.initials: HN
authors.lastname: Tsai
authors.forename: Yii-Her
authors.initials: YH
authors.lastname: Chou
authors.forename: Chun-Hsiung
authors.initials: CH
authors.lastname: Huang
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000628:therapy; D000328:Adult; D001064:Appendicitis / Q000150:complications*; D005832:Genital Diseases, Male / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D012611:Scrotum