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Case Report
 
Scrotal fecal fistula due to enteric perforation in inguinal hernia
Bhavinder Arora
Professor Associate, Department of Surgery, Pt B D Sharma PGIMS, Rohtak.

Article ID: Z01201612CR10725BA
doi:10.5348/ijcri-2016137-CR-10725

Address correspondence to:
Bhavinder Arora
MS FIAMS FAIS, Professor Associate, Department of Surgery
Pt B D Sharma PGIMS
ROHTAK-124001
India

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How to cite this article
Arora B. Scrotal fecal fistula due to enteric perforation in inguinal hernia. Int J Case Rep Images 2016;7(12):791–794.


Abstract
Introduction: Obstructed and strangulated inguinal hernia is known for intestinal perforation. Inflamed appendix in hernia sac is known for scrotal abscess. Enteric perforation within hernial sac has formed a fecal fistula through scrotum.
Case Report: A patient presented with fecal fistula in scrotum with right inguinal hernia along with signs of generalized peritonitis. On exploratory, laparotomy was having a loop of ileum in right inguinal hernia sac along with multiple perforations. Multiple perforations in ileum are common in enteric fever. Ileum perforation within hernial sac can lead to inflammation and resultant fecal fistula formation.
Conclusion: Early diagnosis and surgery can prevent fecal fistula formation.

Keywords: Enteric perforation, Fecal fistula, Inguinal hernia, Scrotum


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Author Contributions
Bhavinder Arora – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Bhavinder Arora. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.