Spontaneous Scrotal Enterocutaneous Fistula: A Case Report and Review of Literature

Abstract

Background: Spontaneous scrotal enterocutaneous fistula(SSECF) is a rare entity both in our local and international literature.No report of such has emanated from south eastern Nigeria.
Method: The case note of the patient was retrieved and relevant data extracted and summarized. An extensive pubmed search was done and results reviewed and compared with the present case.
Result: The case report of the successful surgical management of a 7week male who developed right hemiscrotal SSECF as a result of neglected, irreducible right inguinoscrotal hernia is outlined. A review of current literature is also highlighted.
Conclusion: Spontaneous scrotal enterocutaneous fistula is a very rare complication of neglected, irreducible, strangulated inguinoscrotal hernia. Treatment is invariably inguinal exploration, excision of diseased bowel with end to end anastomosis. Early detection and early repair policy will prevent this.

Keywords: Spontaneous,scrotal,enterocutaneous fistula