A Case of Appendicitis with Scrotal Abscess Induced through an Iguinal Hernia

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  • 鼠径ヘルニアを介した炎症波及により陰嚢膿瘍を合併した虫垂炎の1例
  • 症例 鼠径ヘルニアを介した炎症波及により陰囊膿瘍を合併した虫垂炎の1例
  • ショウレイ ソケイ ヘルニア オ カイシタ エンショウ ハキュウ ニ ヨリ インノウ ノウヨウ オ ガッペイ シタ チュウスイエン ノ 1レイ

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We report a rare case of scrotal abscess caused by acute peritonitis through an inguinal hernia. A 31-year-old man visited the department of urology at our hospital complaining of acute scrotal pain and swelling. We found that the right scrotum showed acute inflammatory features of redness, swollen, tenderness, and local heat. Abdominal computed tomography (CT) scan showed an abscess formation and calcified spot neighboring the ileo-caecal region and a right inguinal hernia with scrotal abscess. We diagnosed it as perforated appendicitis with an abscess spilling over the scrotum through an inguinal hernia and an urgent operation was performed. We performed extensive resection of the intestines ranging from the terminal ileum to the middle transverse colon, which were involved in a massive adhesion forming an abscess wall. For the inguinal hernia, we performed ileo-pubic tract repair after opening the inguinal canal and returned the contents of the great omentum to the abdominal cavity. For the scrotal abscess, we incised and opened the abscess wall detaining the drainage tube and irrigated the open wound daily. The post-operative course was uneventful and the patient was discharged from the hospital 25 days after surgery. We present our case, along with a review of the literature.

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