U O Ezomike1, S O Ekenze, D C Okafor, E P Nwankwo. 1. Sub-Department of Paediatric surgery, University of Nigeria Teaching Hospital, Enugu, South-East Nigeria. ezomikeuche@yahoo.com
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 7 week male who developed right hemiscrotal SSECF as a result of neglected, irreducible right inguinoscrotal hernia is outlined. A review current literature is also highlighted. CONCLUSION: Spontaneous scrotal enterocutaneous stula is a very rare complication of neglected, educible, strangulated inguinoscrotal hernia. Treatment is invariably inguinal exploration, excision of iseased bowel with end to end anastomosis. Early detection and early repair policy will prevent this.
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 7 week male who developed right hemiscrotal SSECF as a result of neglected, irreducible right inguinoscrotal hernia is outlined. A review current literature is also highlighted. CONCLUSION: Spontaneous scrotal enterocutaneous stula is a very rare complication of neglected, educible, strangulated inguinoscrotal hernia. Treatment is invariably inguinal exploration, excision of iseased bowel with end to end anastomosis. Early detection and early repair policy will prevent this.