Multiple faecal and urinary fistulae as a complication of native treatment of inguinal hernia

A case is described of a patient who developed multiple faecal and urinary fistulae after repeated treatment for right-sided scrotal hernia by a native doctor. The patient recovered after resection of an incarcerated loop of sigmoid colon which showed fistulae with the inguinal skin and with the bladder. The bladder defect was closed. This kind of complication may be more frequent than reported.