Chauhan, VishnusaiNewman, MatthewSinha, Rakesh2025-04-292025-04-292016-06-06Chauhan V, Newman M, Sinha R. Acute scrotal swelling following perforated rectal carcinoma with abscess formation. BJR Case Rep. 2016 Nov 2;2(4):20150284. doi: 10.1259/bjrcr.20150284.2055-715910.1259/bjrcr.2015028430460014http://hdl.handle.net/20.500.14200/7623A 59-year-old cachectic male was referred to the surgical outpatient department with intermittent haematochezia and a longstanding change in bowel habit with associated weight loss and anaemia. Following investigation, he was diagnosed with a large rectal tumour with multiple metastases. 7 days later, the patient presented again with fevers, bilious vomiting, abdominal pain and distension. On examination, he had a generally tender abdomen,= although no peritonism, but an enlarged, extremely tender hemiscrotum with no cough reflex. Imaging revealed a perforated rectum and subsequent abscess formation, which tracked via an unusual anatomical route to present as scrotal swelling.enRadiologyGastroenterologyUrologySurgeryArticle