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A complicated true sliding hernia presenting as a spontaneous enteroscrotal fistula in an adult

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Author(s): Rajamanickam Saravana | Yadav Ashok | Rai Anurag | Singh Devendra | Sonkar Abhinav

Journal: Journal of Emergencies, Trauma and Shock
ISSN 0974-2700

Volume: 3;
Issue: 1;
Start page: 62;
Date: 2010;
Original page

Keywords: Complications of inguinal hernia | entero-cutaneous fistula | scroto-fecal fistula.

ABSTRACT
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. Spontaneous entero-scrotal fistulae are very rare and eight pediatric cases have been mentioned in literature till date. We report the first case of true sliding hernia presenting as spontaneous entero-scrotal fistula in an adult.
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