Scrotal suppuration following appendicitis

Abstract

Inguinoscrotal sepsis following intraperitoneal infection is a recognised but infrequent complication. Incidence of this condition seems to have decreased because of the routine use of broad spectrum antibiotics. It is believed that a persistent communication between the peritoneal cavity and scrotum, in the form of a patent tunic vaginalis, is needed for this complication. There may or may not be an associated hernia. Intrascrotal sepsis can lead to testicular loss from vascular thrombosis. The treatment of choice is early operative drainage.