PT - JOURNAL ARTICLE AU - Nikica Sutalo AU - Vedran Dragisic AU - Josip Miskovic AU - Martina Soljic TI - Scrotal abscess as the first symptom of fatal necrotizing pancreatitis AID - 10.15537/smj.2019.11.24488 DP - 2019 Nov 01 TA - Saudi Medical Journal PG - 1167--1170 VI - 40 IP - 11 4099 - http://smj.org.sa/content/40/11/1167.short 4100 - http://smj.org.sa/content/40/11/1167.full SO - Saudi Med J2019 Nov 01; 40 AB - Acute necrotizing pancreatitis represents a severe form of acute pancreatitis, characterized by pancreatic collections and necrosis of the pancreas and surrounding tissues. It is associated with higher rates of morbidity and mortality. Scrotal swelling is a rare complication of acute necrotizing pancreatitis due to the extension of pancreatic necrotic masses involving the inguinal canal and scrotum. We report a case of scrotal swelling as the first sign of unrecognized severe necrotizing pancreatitis with a fatal outcome.