APPENDICULAR ABSCESS TRACKING INTO SCROTUM THROUGH THE PATENT PROCESSUS VAGINALIS IN AN ADULT

Urgent surgical exploration of the scrotum of a child or teenager who presents with a painful and swollen scrotum is paramount if testicular torsion should not to be missed. It is extremely rare for a non-scrotal pathology to present with acute scrotal signs. Here we present such a rare case in an adult and emphasize the importance of being aware of this potential clinical pitfall. Abscess formation is a well-known complication of appendicular pathology and it may be intra-abdominal or pelvic. Acute scrotum following an appendicular abscess perforation is very rare.