Scrotal swelling as the presenting symptom of acute perforated appendicitis in an infant

A ten-week-old patient with a known communicating hydrocele suddenly developed a tense, tender swelling of the scrotal half containing the hydrocele. Operated upon with the presumptive diagnosis of testicular torsion, pus was found in the hydrocele exuding from the abdominal cavity. At laparotomy a perforated appendix was discovered .