García-Santos E, Puerto-Puerto A, Vitón-Herrero R, Manzanares-Campillo MC, Barriga-Guijo R, Martín-Fernández J

Language: Spanish
References: 14
Page: 544-547
PDF size: 456.41 Kb.

ABSTRACT

Background: The gastrointestinal anastomosis dehiscence is one of the most feared complications by the surgeon. It can occur in different ways, ranging from localized forms or diffuse peritonitis. There are isolated cases of intestinal perforations in the literature that are manifested as a scrotal swelling. The prerequisite is the ductus vaginal peritoneum.
Clinical case: Male with fistula secondary to diverticulitis enterovesical is performing a scheduled surgery for subtotal colectomy with ileo-rectal anastomosis. Readmitted after twenty days of hospital discharge scrotal abscess. A computed tomography scan revealed a dehiscence of the anastomosis as the source of the abscess. Resolved surgically, the patient evolved favorably.
Conclusion: It is important to establish a correct differential diagnosis in the presence of a scrotal abscess, and to remember the extraordinary intra-abdominal pathology as a cause. Computed tomography is the imaging test with higher sensitivity and specificity in defining the etiology and raise the appropriate treatment.

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