title: Acute abdomen caused by both acute appendicitis and epididymitis.
abstract: Acute appendicitis often presents as right lower quadrant (RLQ) pain, severe tenderness at the point of McBurny or Lanz, and Blumberg's sign. Scrotal events with appendicitis are very rare. In our case, a 63-year-old Japanese man presented with severe RLQ pain and high fever. Physical examination revealed severe tenderness (including both points of McBurny and Lanz) and Blumberg's sign. The scrotum was slightly swollen and showed local heat with severe testicular pain. Abdominal computed tomography revealed ascites in a pelvic space and the right side of the spermatic cord was swollen. Emergency operation was performed and the final diagnosis was catarrhal appendicitis and acute epididymitis. This is the first report of acute appendicitis concomitant with acute epididymitis.
authors.affiliation: Department of Surgery, Kubokawa Hospital, Kochi, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Nakatani
authors.forename: Shinichi
authors.initials: S
authors.lastname: Hamada
authors.forename: Toyotake
authors.initials: T
authors.lastname: Okanoue
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kawamura
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Inoue
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Chikai
authors.forename: Makoto
authors.initials: M
authors.lastname: Hiroi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hanazaki
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D001064:Appendicitis / Q000150:complications*; D004823:Epididymitis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged