Scrotal abscess following appendectomy

Pediatr Surg Int. 2001 Sep;17(7):569-71. doi: 10.1007/s003830000556.


Postoperative infectious complications in children following perforated appendicitis present in diverse ways. We present two unusual complications of appendectomy for perforated appendicitis: an acute scrotum after open and laparoscopic appendectomy. A retrospective review of two cases of scrotal abscess following appendectomy at our hospital as well as a MEDLINE search was performed to review the clinical presentation, etiology, type of treatment, and outcome of these patients. Although scrotal inflammation occurring postoperatively in a patient with perforated appendicitis may be due to an incarcerated hernia, it is much more likely to be due to a scrotal abscess. Patients without a patent processus vaginalis or inguinal hernia at initial presentation of peritonitis must be carefully followed in the postoperative period and explored early if testicular or scrotal pain becomes manifest.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Abscess / etiology*
  • Appendectomy / adverse effects*
  • Appendectomy / methods
  • Child
  • Genital Diseases, Male / etiology
  • Humans
  • Laparoscopy
  • Male
  • Retrospective Studies
  • Scrotum*