Neglected inguinoscrotal hernia complicated by scrotal fecal fistula in an infant: A case report and review of literature

Abstract

Spontaneous scrotal fistula is an extremely rare complication of incarcerated hernia, especially in children. To date, only 12 cases in children have been reported in the literature worldwide. We present the case of a 31-day-old male infant who had scrotal fecal discharge from an irreducible right inguinoscrotal swelling. Inguinal exploration revealed an incarcerated right inguinal hernia containing a segment of the ileum with a 3 cm perforation on its antimesenteric border. Segmental resection and end-to-end anastomosis along with debridement and closure of the scrotal wound were successful in the management of this index patient. This complication appeared to be the result of a neglected inguinoscrotal hernia. This report aims to highlight the morbidity associated with this complication and to review the available literature. We conclude that early repair of inguinal hernias in infants and children of all ages would reduce this complication and its attendant morbidity and mortality.