Scrotal Abscess Originating from Appendicitis: A Case Report

源於闌尾炎之陰囊膿瘍－病例報告

李永進(Yung-Chin Lee) ； 吳文正(Wen-Jeng Wu) ； 黃書彬(Shu-Pin Huang) ； 蔡秀男(Hsiu-Nan Tsai) ； 周以和(Yii-Her Chou) ； 黃俊雄(Chun-Hsiung Huang)

《The Kaohsiung Journal of Medical Sciences》 19卷5期 (2003/05) Pp. 242-245

摘要

在過去，已有許多報告提到闌尾炎有時會以泌尿系統的問題來表現。然而，卻很少有文獻報告由它所造成的陰囊膿瘍。本文中報告一位由後腸壁闌尾炎併後腹腔膿瘍所造成的陰囊膿瘍。此患者是在闌尾切除手術後不久出現陰囊膿瘍，原本被診斷為化膿性睪丸副睪丸炎而接受陰囊探查手術。然而，此患者在術後仍持續發燒並產生膿瘍，經腹部電腦斷層掃瞄現原闌尾手術處有大量的後腹腔膿瘍。在施予後腹腔膿瘍導管引流後，患者陰囊膿瘍才逐漸消退。對陰囊膿瘍患者而有過腹部病史者（如闌尾切除手術），我們建議在決定做處置之前，一定要先仔細評估有無腹部的病源。

關鍵字

陰囊膿瘍 ； 闌尾炎

並列摘要

There are numerous reports concerning the presentation of appendicitis as a urologic problem. However, scrotal abscess originating from appendicitis has rarely been described. We report a right scrotal abscess due to a preceding retroperitoneal abscess originating from retrocecal appendicitis. The scrotal abscess developed progressively following appendectomy. Scrotal exploration was carried out under the presumptive diagnosis of abscessed epididymo-orchitis. However, the patient remained febrile and had productive pus drained from the scrotum after exploration. Abdominal computerized tomography demonstrated that a large retroperitoneal abscess had accumulated at the appendectomy site. Percutaneous drainage of the retroperitoneal resulted in resolution of the scrotal abscess. In cases of scrotal abscess following previous abdominal events (e.g. appendectomy),we recommend that abdominal origins should be carefully surveyed before scrotal exploration.

並列關鍵字

scrotal abscess ； appendicitis