Acute scrotum caused by sigmoid diverticulitis.

BACKGROUND

Abscesses are one of many complications of diverticulitis and can be found intra-abdominally or in the pelvis.

METHODS

Case report and review of the pertinent English-language literature.

RESULTS

We describe an unusual presentation of a diverticular abscess, tracking down the inguinal canal and causing acute scrotum possibly secondary to a hernia.

CONCLUSION

A deviation from the usual clinical presentation of diverticulitis should prompt the physician to obtain further radiologic evaluation. Computed tomography scanning is recommended, especially when an abscess is suspected.