Acute scrotum caused by sigmoid diverticulitis.

BACKGROUND: Abscesses are one of many complications of diverticulitis and can be found intra-abdominally or in the pelvis. METHODS: Case report and review of the pertinent English-language literature. RESULTS: We describe an unusual presentation of a diverticular abscess, tracking down the inguinal canal and causing acute scrotum possibly secondary to a hernia. CONCLUSION: A deviation from the usual clinical presentation of diverticulitis should prompt the physician to obtain further radiologic evaluation. Computed tomography scanning is recommended, especially when an abscess is suspected.