Left Testicular and Groin Pain: An Unusual Presentation for Perforated Appendicitis By Joseph

M. Graham,

William

l A 12 yr old black male presented a 3 day

history

of left

ticular pain associated iting,

and

fever.

demonstrated

inguinal with

Left

tent process vaginalis

with

and

nausea,

groin

a markedly

J. Pokorny, exudate.

tes-

ration

vom-

containing

pa-

and Ingulnal

hours

pain. Oral

hccnme Incrcsalngly

rctracled

lender

\ccnded wlthtn

left

temperatures

The

the rcrotum.

ditt‘uhc nonlucalvln~

Herr

The

ahdomldnl

gan-

with diffuse peritonitis.

Appendicitis;

Hospital with

inguinal

groin

complatnin~

and

vomiting.

atid

he befan to e\pcrwnce lelt tc\tlcul.lr As the $rc’in pain tntcn\llicd

tenderncs\ and dlytcntton.

Approuimatel!

hc

72 /II

room with ;I temperature c)J ICI.! k.

tender left proIn.

*as

ol Iet’t gr~,ln

onset of n;iuse;t.

recorded at 102°F

:I markedly

rtaht

unremark~ihlc

;I thickened tender cord. ;~nd Ci and the right

tes~c‘r \rell dc-

abdomen ~+a:. dihtendcd and the patlcnt guarded modcratcl!.

\

tcnderncss wa\ prehent with rebound.

L.ahc>rntory \~~tluebdemonstrated I‘hc urlnc

to admIssion

brought to the cmergenq

demonstrated testes

explo-

perforated

REPORT

10 Trrc~s Children‘\

au’arc (11.3 d~li’usc abdominal

Physical cxamlnation

abdominal a

testicular pain.

after the onset of symptoms

of symptom\ he uas

al‘tcr the onset

Concomitant

INDEX WORDS:

purulent

began three days prior

I~nore~~a. Tv+enty-four

J. Harberg

demonstrated

grenous appendix

CASE

symptoms

Franklin

exploration

inflammed

,I I2 yr old hlach male wrts admltted pain. Hi5

and

an;tly\l\ demonstrated

li white blood c(runt of lY.700

with ;t marhrd

3 to 4 red blood CL’IIS per high poher

shil’t to the lrlt

tield.

The

\up~nc and

upright abdornlnal r-raq’s revealed tindinps compatihlc with paralytic iIcu\. The patient was taken to the operating reflex ileus. On exploration indirect

inguinal

hernial

room

of the Icft groin

sac and

edematous

cord

lent euud,ttc wtth no evidcncr of a testicular explored through diffuac purulent postoprrati\c

a McBurnq’s pcritonltis.

incision

with

the diagnos1.r of torsion

the ineuinal

hernial

a perforated

of the testa

3 markedly

nor rpididl;mltls.

demonstrating ua

contalnrd The

structures.

torsion

4n appcndrctom?

canal

SK

contained

The