Fecal Scrotal Abscess Secondary to Spontaneous Retroperitoneal Perforation of Ascending Colon.
Journal
Case reports in medicine
ISSN: 1687-9627
Titre abrégé: Case Rep Med
Pays: United States
ID NLM: 101512910
Informations de publication
Date de publication:
2021
2021
Historique:
received:
24
01
2021
revised:
08
03
2021
accepted:
11
03
2021
entrez:
16
4
2021
pubmed:
17
4
2021
medline:
17
4
2021
Statut:
epublish
Résumé
Fecal abscess or enterocutaneous fistulas of the scrotum are rare and are invariably the result of incarcerated bowel loop in inguinal hernia. Spontaneous perforation of the colon (SPC) having no definite cause is also rare. Much rarer is posterior colonic perforations causing an extensively large retroperitoneal abscess. Similarly, spread of retroperitoneal abscess to the thigh or scrotum has rarely been reported. We report a case of spontaneous posterior perforation of ascending colon resulting in large retroperitoneal abscess eventually causing scrotal abscess, which resolved on conservative treatment and drainage of the scrotal fecal abscess. Diagnosis of retroperitoneal perforation of the colon is often delayed due to the absence of peritoneal irritation. An extensively large retroperitoneal abscess may spread the infection to the scrotum and thigh due to extreme pressure, possibly by dissecting away the transversalis fascia through a deep ring along the side of the spermatic cord. Timely performed CT/MRI can avoid delay in the diagnosis of retroperitoneal abscess and further spread of infection.
Identifiants
pubmed: 33859700
doi: 10.1155/2021/6658083
pmc: PMC8024077
doi:
Types de publication
Case Reports
Langues
eng
Pagination
6658083Informations de copyright
Copyright © 2021 Akshay Bahadur et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Int J Surg Case Rep. 2015;8C:73-5
pubmed: 25635602
Indian J Pediatr. 1980 May-Jun;47(386):253-5
pubmed: 7239629
J Emerg Trauma Shock. 2010 Jan;3(1):62-5
pubmed: 20165723
J Neonatal Surg. 2017 Aug 10;6(3):71
pubmed: 28920031
Oman Med J. 2009 Apr;24(2):137-41
pubmed: 22334860
Bol Asoc Med P R. 1991 Sep;83(9):402-3
pubmed: 1807275
Niger J Med. 2012 Jan-Mar;21(1):111-2
pubmed: 23301462
BMC Surg. 2015 Aug 04;15:94
pubmed: 26239722
Ann R Coll Surg Engl. 2010 Apr;92(3):182-8
pubmed: 20412668
Hernia. 2011 Aug;15(4):455-7
pubmed: 20480197
J Ayub Med Coll Abbottabad. 2005 Oct-Dec;17(4):77-9
pubmed: 16599044
Radiology. 1997 Feb;202(2):523-30
pubmed: 9015084
J Clin Diagn Res. 2017 Aug;11(8):PD05-PD06
pubmed: 28969198
BMJ. 2010;341:C5470
pubmed: 22312655
Pediatr Surg Int. 2000;16(5-6):443-4
pubmed: 10955587
Radiographics. 2008 May-Jun;28(3):819-35; quiz 913
pubmed: 18480486
J Indian Med Assoc. 1979 Dec 1;73(11):192-4
pubmed: 548562
World J Gastroenterol. 2008 Jul 28;14(28):4569-72
pubmed: 18680241
Sci Prog. 2020 Jul-Sep;103(3):36850420945462
pubmed: 32993458
Pediatr Surg Int. 1998 Jul;13(5-6):440-1
pubmed: 9639641
Pediatr Surg Int. 2002 Sep;18(5-6):524-5
pubmed: 12415400
BMC Surg. 2015 May 28;15:67
pubmed: 26018618
Indian Pediatr. 1991 Feb;28(2):193-4
pubmed: 2055639
Clin Radiol. 1997 Apr;52(4):290-4
pubmed: 9112947
Hernia. 2006 Oct;10(5):434-5
pubmed: 16897640
Saudi Med J. 2002 Aug;23(8):999-1001
pubmed: 12235478
Int J Surg Case Rep. 2016;20:27-9
pubmed: 26785080
Medicine (Baltimore). 2018 Nov;97(45):e13176
pubmed: 30407351
J Surg Case Rep. 2014 Jun 02;2014(6):
pubmed: 24887429
J Surg Case Rep. 2019 Sep 16;2019(9):rjz265
pubmed: 31548875
Case Rep Med. 2015;2015:105183
pubmed: 26074967
Asian J Surg. 2015 Jul;38(3):177-9
pubmed: 24751296