title: Acute appendicitis presenting with a painful inguinal mass: complication related to patent processus vaginalis and testicular maldescent.
abstract: Appendicitis with or without perforation is a common pediatric emergency department diagnosis, as are the findings of patent processus vaginalis and cryptorchidism. We describe the unique presentation of perforated appendicitis complicated by a tender inguinal mass resulting from the presence of purulence as well as a cryptorchid but viable testis within a patent processus vaginalis. We describe our diagnostic approach and review the literature relevant to inguinoscrotal presentations of appendicitis.
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Reina
authors.initials: R
authors.lastname: Mayor
authors.forename: Nicholas C
authors.initials: NC
authors.lastname: Saenz
authors.forename: John T
authors.initials: JT
authors.lastname: Kanegaye
mesh_terms: D000208:Acute Disease; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D002675:Child, Preschool; D003456:Cryptorchidism / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D017558:Elective Surgical Procedures; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D056126:Orchiopexy / Q000379:methods; D013737:Testis / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler