Scrotal Abscess Following Emergency Laparotomy in a Preterm Infant

We report one rare case of scrotal abscess following an emergency laparotomy in a preterm infant. A male infant was born by cesarean section due to twin pregnancy at 34 weeks of gestation. He underwent emergency laparotomy for pneumoperitoneum caused by a gastric perforation. At 10 days after the surgery, he presented with bilateral scrotal swelling and ill-defined infiltrating lesions in both testicles. Ultrasound confirmed both patent processus vaginalis. Scrotal incision revealed a yellow mass attaching to both testicles, which was finally diagnosed as abscesses. This case highlights the importance of considering scrotal abscess as a potential complication following intestinal perforation and postoperative intraperitoneal infections in newborn infants.