Abstract
Scrotal involvement is a rare complication of acute pancreatitis. It presents as scrotal swelling and skin color change, which mimics the presentations of testicular torsion, epididymitis, and testicular tumor. Its differential diagnosis is important because scrotal involvement of acute pancreatitis can be treated conservatively. Abdominopelvic CT provides a useful means of diagnosing this complication. Here, the authors present a case of acute pancreatitis extending to the left scrotum, mimicking a testicular tumor. A CT scan helped avoid unnecessary orchiectomy.
References
Balthazar EJ, Ranson JH, Naidich DP, et al. (1985) Acute pancreatitis: prognostic value of CT. Radiology 156:767–772
Meyers MA, Feldberg MA, Oliphant M (1989) Grey Turner’s sign and Cullen’s sign in acute pancreatitis. Gastrointest Radiol 14:31–37
Zimin AF, Satsukevich VN, Molchanov NP (1979) Acute pancreatitis with hemorrhagic flow into the scrotum. Vestn Khir Im I I Grek 122:47–48
Isgar B, Blunt RJ, Wolinski AP (1994) Pancreatitis presenting with unilateral scrotal pain and swelling. Br J Surg 81:101
Wolfson K, Sudakoff GS (1994) Ultrasonography and color Doppler imaging of a scrotal phlegmon in acute necrotizing pancreatitis. J Ultrasound Med 13:565–568
Choong KK (1996) Acute penoscrotal edema due to acute necrotizing pancreatitis. J Ultrasound Med 15:247–248
Lin YL, Lin MT, Huang GT, et al. (1996) Acute pancreatitis masquerading as testicular torsion. Am J Emerg Med 14:654–655
Lee AD, Abraham DT, Agarwal S, et al. (2004) The scrotum in pancreatitis: a case report and literature review. JOP 5:357–359
Liu KL, Lee TC, Wang HP (2006) A tender scrotum and inguinal mass caused by pancreatitis. Clin Gastroenterol Hepatol 4:xxvi
Shadbolt CL, Heinze SB, Dietrich RB (2001) Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics 21 Spec No:S261–271.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, SB., Je, BK., Lee, S.H. et al. Scrotal swelling caused by acute necrotizing pancreatitis: CT diagnosis. Abdom Imaging 36, 218–221 (2011). https://doi.org/10.1007/s00261-010-9638-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-010-9638-0