Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report

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 population...

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Autores principales:	Julia T. Scali, Young G. Son, Ian T. Madison, Benjamin A. Fink, Thomas J. Mueller
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Scrotal abscess Diverticulitis Diverticular abscess Intraperitoneal abscess Extraperitoneal abscess Processus vaginalis Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/2740f305b2ea4c39806a7f81b9c53096
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spelling	oai:doaj.org-article:2740f305b2ea4c39806a7f81b9c530962021-11-08T10:45:28ZIntraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report10.1186/s12301-021-00251-w1110-57041961-9987https://doaj.org/article/2740f305b2ea4c39806a7f81b9c530962021-11-01T00:00:00Zhttps://doi.org/10.1186/s12301-021-00251-whttps://doaj.org/toc/1110-5704https://doaj.org/toc/1961-9987Abstract 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.Julia T. ScaliYoung G. SonIan T. MadisonBenjamin A. FinkThomas J. MuellerSpringerOpenarticleScrotal abscessDiverticulitisDiverticular abscessIntraperitoneal abscessExtraperitoneal abscessProcessus vaginalisDiseases of the genitourinary system. UrologyRC870-923ENAfrican Journal of Urology, Vol 27, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Scrotal abscess Diverticulitis Diverticular abscess Intraperitoneal abscess Extraperitoneal abscess Processus vaginalis Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Scrotal abscess Diverticulitis Diverticular abscess Intraperitoneal abscess Extraperitoneal abscess Processus vaginalis Diseases of the genitourinary system. Urology RC870-923 Julia T. Scali Young G. Son Ian T. Madison Benjamin A. Fink Thomas J. Mueller Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
description	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.
format	article
author	Julia T. Scali Young G. Son Ian T. Madison Benjamin A. Fink Thomas J. Mueller
author_facet	Julia T. Scali Young G. Son Ian T. Madison Benjamin A. Fink Thomas J. Mueller
author_sort	Julia T. Scali
title	Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
title_short	Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
title_full	Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
title_fullStr	Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
title_full_unstemmed	Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
title_sort	intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/2740f305b2ea4c39806a7f81b9c53096
work_keys_str_mv	AT juliatscali intraperitonealabscessfromperforateddiverticulitiswithfistualizationtoextraperitonealabscessintothescrotumacasereport AT younggson intraperitonealabscessfromperforateddiverticulitiswithfistualizationtoextraperitonealabscessintothescrotumacasereport AT iantmadison intraperitonealabscessfromperforateddiverticulitiswithfistualizationtoextraperitonealabscessintothescrotumacasereport AT benjaminafink intraperitonealabscessfromperforateddiverticulitiswithfistualizationtoextraperitonealabscessintothescrotumacasereport AT thomasjmueller intraperitonealabscessfromperforateddiverticulitiswithfistualizationtoextraperitonealabscessintothescrotumacasereport
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Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report

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