{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T03:00:06Z","timestamp":1791687606332,"version":"4.3.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011]]},"abstract":"\n \n Pancreatitis indicates inflammation of the pancreas. Clinically acute pancreatitis typically presents as upper abdominal pain mostly in epigastric region, nausea, vomiting and elevated levels of amylase and lipase. Depending upon severity of acute pancreatitis patient may presents with minimal symptoms to more severe signs of acute abdomen like generalized guarding and rigidity. Inspite of absence of disease-specific signs and symptoms for acute pancreatitis, diagnosis is usually not difficult using a combination of clinical, laboratory and radiological findings. Sometimes pancreatitis may presents atypically, which may be misleading in the management especially when typical presentation of pancreatitis as described above is absent. We have described a case of pancreatitis where patient presented with anterior abdominal wall abscess with epididymo-orchitis because of tracking of pancreatic fluid into the retroperitoneum till scrotum. Patients presentation may be different depending upon complication occurred during the course of pancreatitis. After reviewing the literature we found very few cases in which you may not get a clue to diagnose pancreatitis because of atypical presentation. In the described case, patient managed conservatively with percutaneous drainage of the abscess by pigtail catheter placement and scrotal support for epididymoorchitis. This avoided unnecessary exploration in above patient.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0022-3859.90088","type":"journal-article","created":{"date-parts":[[2011,11,22]],"date-time":"2011-11-22T00:12:18Z","timestamp":1321920738000},"page":"335-337","source":"Crossref","is-referenced-by-count":14,"title":["Anterior abdominal wall abscess with epididymo-orchitis"],"prefix":"10.4103","volume":"57","author":[{"given":"PM","family":"Kamble","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Patil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Jadhav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SA","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-14-20240205","first-page":"29","article-title":"An unusual cause of acute scrotum: Pancreatitis-related scrotal pain","volume":"20","author":"Chen","year":"2009","journal-title":"JTUA"},{"key":"R2-14-20240205","first-page":"452","article-title":"Left flank pain as the sole manifestation of acute pancreatitis: A report of a case with an initial misdiagnosis","volume":"22","author":"Chen","year":"2005","journal-title":"Emerg Med J"},{"key":"R3-14-20240205","doi-asserted-by":"crossref","first-page":"228","DOI":"10.5694\/j.1326-5377.2008.tb01991.x","article-title":"Bilateral renal halo sign in acute pancreatitis","volume":"189","author":"Athappan","year":"2008","journal-title":"Med J Aust"},{"key":"R4-14-20240205","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s00261-006-9003-5","article-title":"Unusual presentation of acute pancreatitis: An irreducible inguinoscrotal swelling mimicking a strangulated hernia","volume":"2","author":"Nazar","year":"2007","journal-title":"Abdom Imaging"},{"key":"R5-14-20240205","first-page":"177","article-title":"Cutaneous pseudo abscesses: An unusual presentation of severe pancreatitis","volume":"83","author":"Manji","year":"1988","journal-title":"Am J Gastroenterol"},{"key":"R6-14-20240205","first-page":"357","article-title":"The scrotum in pancreatitis: A case report and literature review","volume":"5","author":"Lee","year":"2004","journal-title":"JOP"},{"key":"R7-14-20240205","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1177\/000331979404501203","article-title":"Inferior vena caval thrombosis associated with acute pancreatitis: An unusual vascular complication--its presentation and management","volume":"45","author":"Antony","year":"1994","journal-title":"Angiology"},{"key":"R8-14-20240205","first-page":"17","article-title":"Blue toe syndrome: A rare complication of acute pancreatitis","volume":"4","author":"Bhalla","year":"2003","journal-title":"JOP"},{"key":"R9-14-20240205","doi-asserted-by":"crossref","first-page":"9336","DOI":"10.1186\/1757-1626-2-9336","article-title":"Ruptured pseudocyst of pancreas presenting with paraplegia: A case report","volume":"2","author":"Soumian","year":"2009","journal-title":"Cases J"},{"key":"R10-14-20240205","doi-asserted-by":"crossref","first-page":"122","DOI":"10.4103\/1817-1737.33701","article-title":"Pancreaticopleural fistula and mediastinalpseudocyst: An unusual presentation of acute pancreatitis","volume":"2","author":"Moorthy","year":"2007","journal-title":"Ann Thorac Med"}],"container-title":["Journal of Postgraduate Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00005257-201157040-00014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:59:14Z","timestamp":1786647554000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00005257-201157040-00014"}},"subtitle":["An unusual presentation of acute pancreatitis"],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.4103\/0022-3859.90088","relation":{},"ISSN":["0022-3859"],"issn-type":[{"value":"0022-3859","type":"print"}],"subject":[],"published":{"date-parts":[[2011]]}}}