Abstract
Abstract
Background
Scrotal abscesses are common skin abscesses seen in the general population; however, intraperitoneal abscesses tracking into the scrotum are rare. Intraperitoneal and retroperitoneal abscesses contiguous with the scrotum have been reported in the literature in specific populations. Wound cultures can aid in differentiating the source of the infections. Recurrent abscesses have been observed in high-risk populations, such as those with malignancy or who are immunocompromised.
Case presentation
We present a 71-year-old male with pericolonic abscess following perforated diverticulitis. The abscess was drained with interventional radiology and was complicated by an extraperitoneal abscess that tracked to the scrotum. Incision and drainage of the extraperitoneal abscess and the scrotal abscess were required with intravenous antibiotic therapy. The abscess tracking into the scrotum is reported without evidence of patent processus vaginalis.
Conclusion
We conclude that an intraperitoneal abscess can track to the scrotum through extraperitoneal fascial planes in the absence of a patent processus vaginalis. We show that extraperitoneal abscess spread to the scrotum is possible, with wound cultures helping to differentiate the source of the infection. High-risk patients with recurrent abscesses can also be susceptible to contiguous spread.
Publisher
Springer Science and Business Media LLC
Reference16 articles.
1. Kaye KS, Petty LA, Shorr AF, Zilberberg MD (2019) Current epidemiology, etiology, and burden of acute skin infections in the United States. Clin Infect Dis 68:193–199. https://doi.org/10.1093/cid/ciz002
2. Keyes J, Casas-Melley AT, Liu C, Epelman MS, Ellsworth PI (2020) Scrotal abscess after a perforated appendicitis. J Surg Case Rep. https://doi.org/10.1093/jscr/rjaa058
3. Tiwana MS, Leslie SW (2021) Anatomy, abdomen and pelvis, testicle. In: StatPearls Internet, Treasure Island (FL): StatPearls Publishing. 202129261881
4. Rahman N, Lakhoo K (2009) Patent processus vaginalis: a window to the abdomen. Afr J Paediatr Surg 6:116–117
5. Cowan KB, Cassaro S (2021) Enterocutaneous Fistula. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 29083609 https://www.ncbi.nlm.nih.gov/books/NBK459129/