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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Necrotising pancreatitis presenting as an acute inguinal swelling is an extremely rare condition. We report on a 61-year-old male who underwent explorative laparotomy for pancreatic tumour. Intraoperatively, the diagnosis of a locally advanced carcinoma of the head of the pancreas was confirmed histologically. During the postoperative course, the patient developed an acute inguinal swelling, which was suspected to be an incarcerated hernia. Intraoperatively, exploration of both abdomen and inguinal canal revealed an acute necrotising pancreatitis. This case is, to the best of our knowledge, the first case report on a postoperative necrotising pancreatitis masquerading as an incarcerated inguinal hernia in an adult male, and the diagnostic problems are discussed.
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PMID:[Acute inguinal swelling--unusual presentation of postoperative necrotising pancreatitis]. 1938 54

Acute pancreatitis is characterized by activation of digestive enzymes inside the pancreas. In severe pancreatitis, necrosis of pancreas and surrounding tissues may occur. Acute necrotizing pancreatitis commonly presents as pancreatic abscess occasionally with systemic complications. Rarely, necrotic tissue may be drained from scrotum due to retroperitoneal extension of necrotic process. Here, we report a case of acute necrotizing pancreatitis in a 29-year-old man who presented with severe abdominal pain, nausea and vomiting. A computerized tomography (CT) scan confirmed necrotizing pancreatitis with multiple abscesses spreading bilaterally in the pelvic cavity. Several surgical operations were performed, including necrosectomy and drainage. Subsequently, the patient developed a scrotal abscess, which was drained surgically. The patient's condition was complicated by pleural effusion, acute respiratory distress syndrome, colocutaneous and scrotal fistulas, and incisional hernia. It seems that the scrotal abscess is a very rare complication of necrotizing pancreatitis.
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PMID:Scrotal Abscess: A Rare Presentation of Complicated Necrotizing Pancreatitis. 2819 88