Entero-scrotal fistula in a Ghanaian adult: a case report of the spontaneous rupture of a neglected strangulated inguinal hernia.

Hernia

Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, University Post Office, Kumasi, Ghana.

Published: August 2011

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http://dx.doi.org/10.1007/s10029-010-0672-1DOI Listing

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Article Synopsis
  • * 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.
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A 26-year-old man presented with an irreducible right inguino-scrotal swelling and fecal discharge from the scrotum. Exploratory laparotomy and inguinal exploration revealed that the caecum, appendix, and terminal ileum had herniated into the scrotum and had perforated through the skin forming a fecal fistula. The herniated gangrenous bowel was resected and a stoma fashioned.

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