* A rare case of an entero-scrotal fistula was reported in a 27-day-old male neonate presenting with fecal discharge from the right scrotum, where a perforated terminal ileum was found.
* The management involved staged surgical interventions: an initial ileostomy and scrotal debridement, followed by a later elective ileo-ascending anastomosis, emphasizing the urgency of addressing neonatal hernias promptly.