case_images: PMC11008343_01
case_images: Ultrasound showing (a) a hernial sac along the vaginoperitoneal canal containing an aperistaltic blind-ending digestive structure communicating with the caecum. (b) The hydrocele containing fibrous adhesion and (c) Doppler ultrasound showing the spermatic cord communicating with the epididymis and containing blood vessels (blue arrow). The appendix is above (red arrow).
case_images: 10.1177_2050313X241246876-fig1.jpg
case_images: PMC11008343_01_10.1177_2050313X241246876-fig1.jpg
case_images: fig1-2050313X241246876
case_images: An inguinoscrotal ultrasound was initially requested, showing thickening of the tunica measured at 6 mm with the identification of a hernial sac along the vaginoperitoneal canal containing an aperistaltic blind-ending digestive structure communicating with the caecum highly suggestive of an appendix (Figure 1(a)). In addition, there was a compartmentalized appearance of the hydrocele, echogenic in some areas (Figure 1(b)). The testicle, epididymis, and spermatic cord showed no abnormalities nor any signs of testicular torsion (Figure 1(c)).
case_images: Low right inguinal incision revealing a herniated appendiceal abscess within the scrotum.
case_images: 10.1177_2050313X241246876-fig2.jpg
case_images: PMC11008343_01_10.1177_2050313X241246876-fig2.jpg
case_images: fig2-2050313X241246876