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Inguinoscrotal extension of a pancreatic collection: a rare complication of pancreatitis—case report and review of the literature

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Abstract

Pancreatitis associated with the extension of a pancreatic collection, pseudocyst or abscess into the groin is a rare phenomenon with few reports in the English literature. Nevertheless, it remains a clinically important differential diagnosis as it may be mistaken for more common pathologies in the groin and with a subsequent unnecessary surgical intervention. A case of this rare complication of pancreatitis is reported, together with a review of the literature.

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References

  1. Steedman RA, Doering R, Carter R (1967) Surgical aspects of pancreatic abscess. Surg Gynecol Obstet. 125(4):757–762

    PubMed  CAS  Google Scholar 

  2. Lye DJ, Stark RH, Cullen GM, Wepfer JF (1987) Ruptured pancreatic pseudocyst: extension into the thigh. AJR Am J Roentgenol 149(5):937–938

    Article  PubMed  CAS  Google Scholar 

  3. Lin YL, Lin MT, Huang GT, Chang YL, Chang H, Wang SM et al (1996) Acute pancreatitis masquerading as testicular torsion. Am J Emerg Med 14(7):654–655

    Article  PubMed  CAS  Google Scholar 

  4. Dennison AR, Royle GT (1984) Acute pancreatitis—presentation as a discoloured lump in the groin. Postgrad Med J 60(703):374–375

    Article  PubMed  CAS  Google Scholar 

  5. Liu KL, Lee TC, Wang HP (2006) A tender scrotum and inguinal mass caused by pancreatitis. Clin Gastroenterol Hepatol 4(12):xxvi

  6. Salvo AF, Nematolahi H (1973) Distant dissection of a pancreatic pseudocyst into the right groin. Am J Surg 126(3):430–432

    Article  PubMed  CAS  Google Scholar 

  7. Diego BR, Tubet AC, Banos GJ, Garcia MB, Martin PJ, Guerrero ZS (2008) Scrotal mass as result of the extension of a pancreatic pseudocyst. Actas Urol Esp 32(2):261–264

    Article  PubMed  Google Scholar 

  8. Choong KK (1996) Acute penoscrotal edema due to acute necrotizing pancreatitis. J Ultrasound Med 15(3):247–248

    PubMed  CAS  Google Scholar 

  9. Lu HM, Zhang ZD, Hu WM (2010) A long journey: report of a case with pancreatic abscess extending to the groin. Chin Med J (Engl) 123(22):3362–3363

    Google Scholar 

  10. Warshaw AL (1974) Inflammatory masses following acute pancreatitis. Phlegmon, pseudocyts, and abscess. Surg Clin North Am 54(3):621–636

    PubMed  CAS  Google Scholar 

  11. Hoffbrand BI (1975) Letter: haemorrhagic discoloration of the penis in acute pancreatitis. Lancet 2(7943):1049–1050

    Article  PubMed  CAS  Google Scholar 

  12. Erzurum VZ, Obermeyer R, Chung D (2000) Pancreatic pseudocyst masquerading as an incarcerated inguinal hernia. South Med J 93(2):221–222

    PubMed  CAS  Google Scholar 

  13. Nazar MA, D’Souza FR, Ray A (2007) Unusual presentation of acute pancreatitis: an irreducible inguinoscrotal swelling mimicking a strangulated hernia. Abdom Imaging 32(1):116–118

    Article  PubMed  CAS  Google Scholar 

  14. Gibbons CP (1984) Pancreatitis and inguinal swelling. Postgrad Med J 60(708):711

    Article  PubMed  CAS  Google Scholar 

  15. Lombrozo R, Wolloch Y, Dintsman M (1977) Retroperitoneal dissection of a pancreatic pseudocyst to the left inguinal region. Isr J Med Sci 13(3):309–312

    PubMed  CAS  Google Scholar 

  16. Hodson-Walker NJ, Woods JM (1970) Acute pancreatitis with peripheral fat necrosis. Can Med Assoc J 103(4):382–384

    PubMed  CAS  Google Scholar 

  17. Isgar B, Blunt RJ, Wolinski AP (1994) Pancreatitis presenting with unilateral scrotal pain and swelling. Br J Surg 81(1):101

    Article  PubMed  CAS  Google Scholar 

  18. Lee AD, Abraham DT, Agarwal S, Perakath B (2004) The scrotum in pancreatitis: a case report and literature review. JOP 5(5):357–359

    PubMed  Google Scholar 

  19. Kim SB, Je BK, Lee SH, Cha SH (2011) Scrotal swelling caused by acute necrotizing pancreatitis: CT diagnosis. Abdom Imaging 36(2):218–221

    Article  PubMed  Google Scholar 

  20. Tajima Y, Mishima T, Kuroki T, Kosaka T, Adachi T, Tsuneoka N et al (2009) Huge pancreatic pseudocyst migrating to the psoas muscle and inguinal region. Surgery 145(3):341–342

    Article  PubMed  Google Scholar 

  21. Atiq M, Budhani I, Snyder R, Safdar K, Khan A, Chauhan S (2008) Pancreatic hydrocele: an unusual manifestation of severe acute pancreatitis. Gastrointest Endosc 68(2):393–395

    Article  PubMed  Google Scholar 

  22. Michalopoulos A, Papadopoulos V, Apostolidis S, Papavramidis T, Paramythiotis D, Berovalis P (2006) A rare case of pancreatic pseudocyst masquerading as hydrocele. Acta Gastroenterol Belg 69(4):424

    PubMed  CAS  Google Scholar 

  23. Wolfson K, Sudakoff GS (1994) Ultrasonography and color Doppler imaging of a scrotal phlegmon in acute necrotizing pancreatitis. J Ultrasound Med 13(7):565–568

    PubMed  CAS  Google Scholar 

  24. Haller J, Tscholakoff D, Gundry C, Wittich G, Mostbeck G, Gritzmann N (1989) Sonography of unusual extratesticular lesions. Urol Radiol 11(3):190–193

    Article  PubMed  CAS  Google Scholar 

  25. Karatzas GM (1976) Pancreatic pseudocysts. Br J Surg 63(1):55–59

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Christos Skouras.

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Skouras, C., Skouras, T., Pai, M. et al. Inguinoscrotal extension of a pancreatic collection: a rare complication of pancreatitis—case report and review of the literature. Updates Surg 65, 153–159 (2013). https://doi.org/10.1007/s13304-012-0138-3

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  • DOI: https://doi.org/10.1007/s13304-012-0138-3

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