Intrascrotal Collection in an Acute Pancreatitis: A Case Report and Review of the Literature

Table 1

Literature reports of cases of inguinoscrotal and other extension of pancreatitis local complications.

References + year of publication	Urologic clinical features	Side affected	Etiology of the pancreatitis	Atlanta classification	Invasive scrotal interventions; (+intra-abdominal interventions )
[2] 1979	Unknown	Unknown	Unknown	Supposed necrotizing acute pancreatitis	Unknown
[3] 1988	Painful scrotum enlargement	Unknown	Alcohol	Interstitial edematous acute pancreatitis	NO
[4] 1994	Transilluminating hydrocele	Right	Alcohol	Interstitial edematous acute pancreatitis	NO
[5] 1994	Painful and swollen scrotum; Inguinal mass	Left	Unknown	Necrotizing acute pancreatitis	NO; (+laparotomy)
[6] 1995	Scrotal necrosis	Unknown	Unknown	Necrotizing acute pancreatitis	Excision of the testis and the scrotum
[7] 1996	Scrotal mass, erythematous skin	Unknown	Latrogenic	Necrotizing acute pancreatitis	Invasive scrotal aspiration
[8] 1996	Tender swollen scrotum	Left	Alcohol	Interstitial edematous acute pancreatitis	NO
[9] 2000	Painful inguinal swelling	Right	Alcohol	Interstitial edematous acute pancreatitis	Percutaneous drainage
[10] 2004	Painful scrotal swelling	Right	Alcohol	Interstitial edematous acute pancreatitis	Scrotal fluid punction; (+retroperitoneal drainage)
[11] 2006	Inguinoscrotal mass	Left	Alcohol	Interstitial edematous acute pancreatitis	NO
[12] 2006	Scrotal mobile mass	Right	Unknown	Interstitial edematous acute pancreatitis	Percutaneous drainage
[13] 2007	Tender inguinoscrotal swelling	Left	Alcohol	Interstitial edematous acute pancreatitis	(Drainage of the retroperitoneal collection)
[14] 2008	Scrotal exudation, fever	Bilateral	Alcohol	Interstitial edematous acute pancreatitis	Scrotal debridement; (+ERCP, pancreatic duct stenting)
[15] 2008	Painful scrotal swelling, fever, funiculitis	Left	Unknown	Interstitial edematous acute pancreatitis	Unknown
[16] 2009	Painful scrotal swelling, macroscopic hematuria	Left	Alcohol	Interstitial edematous acute pancreatitis	NO
[17] 2011	Painful scrotal swelling, discoloration of the scrotum	Left	Alcohol	Necrotizing acute pancreatitis	NO
[18] 2013	Painful tender groin and scrotal swelling	Right	Unknown	Interstitial edematous acute pancreatitis	NO; (+drainage paracolic collection)
Our case report	Painful inguinoscrotal swelling + skin erythema	Right	Alcohol, hypertriglyceridemia	Interstitial edematous acute pancreatitis	NO
References + year of publication	Other expressions reported	Side affected	Etiology of the pancreatitis	Atlanta classification	Treatment reported
[19] 1973	Extension to the groin	Right	Alcohol	Interstitial edematous acute pancreatitis	Inguinal canal drainage
[20] 1984	Extension to the groin	Left	Alcohol	Unknown	Laparotomy + peritoneal lavage
[21] 1987	Extension to the thigh and the knee	Left	Gallstones	Interstitial edematous acute pancreatitis	Pseudocyst drainage
[22] 2009	Extension to the psoas muscle	Left	Alcohol	Interstitial edematous acute pancreatitis	Laparotomy + pancreatectomy