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Arch Iran Med. 2017;20(2): 0.
PMID: 28193088
Scopus ID: 85012964760
  Abstract View: 2572
  PDF Download: 1816

Case Report

Scrotal Abscess: A Rare Presentation of Complicated Necrotizing Pancreatitis

Seyyedhadi Mirhashemi*, Mohsen Soori, Gholamhossein Faghih, Hassan Peyvandi, Omid Shafagh
*Corresponding Author: Email: Sh.Mirhashemi@gmail.Com

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. A computerized 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.

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ePublished: 01 Feb 2017
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