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Enteroscrotal fistula: a rare complication of incarcerated inguinal hernia

Muhammad Sharif1, Lubna Ijaz, Shahid Iqbal

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.

APSP Journal of Case Reports
|September 7, 2012
PubMed

Insights

A rare complication of pediatric inguinal hernia, entero-scrotal fistula, occurred in a neonate. Prompt surgical intervention involving ileum resection and anastomosis successfully treated this condition.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Neonatal Care

Background:

  • Inguinal hernias are common in children and can lead to incarceration or strangulation if not treated promptly.
  • Untreated inguinal hernias may result in serious complications.
  • Enteroscrotal fistula is a rare but significant complication.

Observation:

  • A 25-day-old male neonate presented with an entero-scrotal fistula.
  • The fistula was a consequence of an incarcerated right inguinal hernia.
  • The neonate required immediate surgical intervention.

Findings:

  • Surgical exploration revealed the incarcerated right inguinal hernia involving the ileum.
  • The affected segment of the ileum was successfully resected.
  • An ileo-ileal anastomosis was performed to restore intestinal continuity.

Implications:

  • This case highlights the potential for rare complications from delayed treatment of pediatric inguinal hernias.
  • Early diagnosis and surgical management are crucial to prevent severe outcomes like entero-scrotal fistula.
  • Successful surgical repair demonstrates the viability of prompt intervention in complex neonatal cases.

Keywords:
Enteroscrotal fistulaNeonateStrangulated inguinal hernia

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