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- Title
Scrotal Abscess: A Rare Presentation of Complicated Necrotizing Pancreatitis.
- Authors
Mirhashemi, Seyyedhadi; Soori, Mohsen; Faghih, Gholamhossein; Peyvandi, Hassan; Shafagh, Omid
- Abstract
Acute pancreatitis is characterized by activation of digestive enzymes inside the pancreas. In severe pancreatitis, necrosis of pancreas and surrounding tissues may occur. Acute necrotizing pancreatitis commonly presents as pancreatic abscess occasionally with systemic complications. Rarely, necrotic tissue may be drained from scrotum due to retroperitoneal extension of necrotic process. Here, we report a case of acute necrotizing pancreatitis in a 29-year-old man who presented with severe abdominal pain, nausea and vomiting. Acomputerized tomography (CT) scan confirmed necrotizing pancreatitis with multiple abscesses spreading bilaterally in the pelvic cavity. Several surgical operations were performed, including necrosectomy and drainage. Subsequently, the patient developed a scrotal abscess, which was drained surgically. The patient's condition was complicated by pleural effusion, acute respiratory distress syndrome, colocutaneous and scrotal fistulas, and incisional hernia. It seems that the scrotal abscess is a very rare complication of necrotizing pancreatitis.
- Subjects
TREATMENT effectiveness; ABDOMINAL abscess; ABSCESSES; COMPUTED tomography; DIFFERENTIAL diagnosis; MALE reproductive organ diseases; NECROTIZING pancreatitis; PANCREAS; RARE diseases; RETROPERITONEUM; SCROTUM; TOMOGRAPHY; MEDICAL drainage; DIAGNOSIS
- Publication
Archives of Iranian Medicine (AIM), 2017, Vol 20, Issue 2, p124
- ISSN
1029-2977
- Publication type
Article