title: Ruptured appendicitis presenting as acute scrotal swelling in a 23-month-old toddler.
abstract: BACKGROUND
  Acute appendicitis is a common disease process in which timely diagnosis minimizes the risk of complications.
  
  
  OBJECTIVE
  This case illustrates one example of the range of clinical presentations of young children with acute appendicitis.
  
  
  METHODS
  We describe a case in a young child presenting with an inguinal and scrotal mass that was ultimately due to perforated appendicitis with abscess formation.
  
  
  CONCLUSIONS
  In the emergency department evaluation of these children with inguinal or scrotal complaints, we maintain that intra-abdominal processes should be included in the differential.
authors.affiliation: Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
authors.forename: J Matthew
authors.initials: JM
authors.lastname: Kynes
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Rauth
authors.forename: Sheila P
authors.initials: SP
authors.lastname: McMorrow
mesh_terms: D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D004890:Erythema / Q000209:etiology; D006552:Hernia, Inguinal / Q000175:diagnosis; D006801:Humans; D007223:Infant; D008297:Male; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000175:diagnosis