# Scrotal Abscess Following Laparoscopic Appendectomy in an Older Adult Without Perforated Appendicitis: A Case Report

## TL;DR

An older man developed a rare scrotal abscess after laparoscopic appendectomy, even without appendix perforation.

## Contribution

Reports a rare postoperative complication of scrotal abscess following laparoscopic appendectomy in an elderly patient.

## Key findings

- Scrotal abscess occurred after laparoscopic appendectomy without perforated appendicitis.
- Emphasizes the need for early recognition and multidisciplinary management of this rare complication.

## Abstract

Laparoscopic appendectomy is generally considered safe with low overall morbidity, and scrotal complications are exceedingly rare. We report the case of a 65-year-old male who developed a large, complex right hydrocele complicated by abscess formation following laparoscopic appendectomy for acute appendicitis. This case highlights an unusual postoperative complication in an elderly adult patient without appendiceal perforation and emphasizes the importance of early recognition, multidisciplinary management, and consideration of this complication in the differential diagnosis of postoperative scrotal pain and swelling.