Abstract
We report a case of abscess that developed in an inguinal hernia sac after appendectomy for perforated appendicitis. A 20s-year-old man underwent appendectomy for perforated appendicitis. He had no medical history except for a reducible right inguinal hernia. On the 5th day after the appendectomy, bulging with mild tenderness in the right upper scrotum appeared. Computed tomography with contrast showed abscess in the right inguinal hernia sac. Subsequently, hernioplasty and resection of the sac were performed. The hernia sac was approximately 3 cm in diameter, and had reached to the scrotum ; the sac was resected. The inguinal hernia was accompanied by a communicating hydrocele. The abscess in the inguinal hernia sac had formed without an incarcerated inguinal hernia, which suggested remnant abscess following the appendectomy for the previous perforating appendicitis. To our knowledge, this is the first reported case of abscess in an inguinal hernia sac after appendectomy for perforated appendicitis and peritonitis in Japan.
