Pancreatitis presenting with unilateral scrotal pain and swelling

Isgar, Brian; Blunt, R. J.; Wolinski, A. P.

doi:10.1002/bjs.1800810137

Cited by 8 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most cases (n = 11), pancreatitis was alcohol induced, 14 cases had interstitial edematous acute pancreatitis, and 4 cases of necrotizing pancreatitis. By searching the PubMed database, 26 cases of swelling of the penoscrotal and inguinal region in patients with acute pancreatitis have been published [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Previous studies proposed that hydrocele is a result of peripancreatic fluid in the retroperitoneum tracking through pelvic space and inguinal canal into the scrotum along processus vaginalis [7][8][9]15].…”

Section: Discussionmentioning

confidence: 99%

“…By searching the PubMed database, 26 cases of swelling of the penoscrotal and inguinal region in patients with acute pancreatitis have been published [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Previous studies proposed that hydrocele is a result of peripancreatic fluid in the retroperitoneum tracking through pelvic space and inguinal canal into the scrotum along processus vaginalis [7][8][9]15]. The patients had failure of closure of the processus vaginalis, so consequently the fluid dissected between the visceral and parietal layers of the tunica vaginalis led to communicating hydrocele.…”

Section: Discussionmentioning

confidence: 99%

“…However, scrotal swelling or hydrocele is a rare presentation of acute pancreatitis described in the literature so far [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. According to previous study, 57% of patients with acute pancreatitis were diagnosed to have fluid collections, 39% having two and 33% having three or more areas involved [16].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Jukic,

Kokic Males,

Zanic

et al. 2024

Medicina

View full text Add to dashboard Cite

Background and Objectives: Scrotal swelling or hydrocele is a rare complication of acute pancreatitis described in the literature. We present a case of penoscrotal swelling caused by the first attack of acute interstitial edematous alcohol-induced pancreatitis in a young male patient. Case report: A 22-year-old man was admitted to the emergency unit due to diarrhea and vomiting since morning which was followed by severe abdominal pain. Urgent abdominal multislice CT scan showed steatosis, pancreatic swelling and acute peripancreatic fluid collection (interstitial edematous pancreatitis). Also, scan showed fluid between small bowel loops and along the anterior renal fascia, while there was minimal amount of fluid in the Douglas space. There was no sign of penoscrotal swelling. On the second day of admission, the patient developed left scrotal swelling and mild pain without erythema. On the fourth day, a control CT scan showed progression to moderately severe pancreatitis (CT severity index 4). Dilated scrotal veins of the pampiniform venous plexus with an increased caliber of the testicular veins were present on both sides, from the scrotum to the level of the inguinal canal. Penoscrotal swelling was significantly reduced on discharge. Conclusions: Penoscrotal swelling is a rare complication or manifestation of acute inflammation of the pancreas. It is important to identify scrotal swelling caused by pancreatitis because in severe cases it can be related to possible infertility in the future.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Jukic,

Kokic Males,

Zanic

et al. 2024

Medicina

View full text Add to dashboard Cite

show abstract

“…We noted patients with pancreatic hydrocele were mostly alcohol-related among different etiologies of pancreatitis. [ 4 , 7 , 10 , 11 , 15 – 25 ] Alcohol may increase the production of digestive and lysosomal enzymes, and result in more fluid collections.…”

Section: Discussionmentioning

confidence: 99%

Hydrocele in recurrent acute pancreatitis caused by testicular venous obstruction

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Acute scrotal pain may rarely present in the setting of pancreatitis 25–34 . These patients usually have already had severe pancreatitis and then develop acute scrotal pain and swelling, which are misinterpreted as concomitant scrotal disease, such as torsion or inflammation.…”

Section: Other Causes Of Acute Pain Referred To the Scrotummentioning

confidence: 99%

Nonscrotal Causes of Acute Scrotum

Campo

Valentino²,

Sidhu

et al. 2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

Acute scrotum is characterized by intense acute scrotal pain, which may be associated with other symptoms and signs such as abdominal pain, inflammation, and fever. Many pathologic conditions can present in this way, most which involve the scrotal contents. Nonscrotal conditions, however, can rarely present clinically only as acute scrotum: among them, renal colic, aneurysm rupture or other causes of retroperitoneal hemorrhage, primary abdominal or pelvic tumors and metastases, pancreatitis, pelvic inflammation, and muscle injuries. The pathophysiologic characteristics of the clinical presentation, clues for diagnosis, and imaging features of a series of nonscrotal lesions presenting clinically with acute scrotal pain are herein reported and illustrated. In patients presenting with acute scrotal symptoms and normal scrotal ultrasound findings, nonscrotal causes of acute scrotal pain should be considered in the differential diagnosis. Therefore, an ultrasound investigation of the abdomen, groin, and thighs is indicated.

show abstract

Pancreatitis presenting with unilateral scrotal pain and swelling

Cited by 8 publications

References 3 publications

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Hydrocele in recurrent acute pancreatitis caused by testicular venous obstruction

Nonscrotal Causes of Acute Scrotum

Contact Info

Product

Resources

About