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Scrotal enterocutaneous fistula: a rare initial presentation of inguinal hernia
Puneet Malik1, Mahendra Rathi2, Krishan Kumar2
1Department of General Surgery, SMS Hospital, Jaipur, Rajasthan, India dr.puneetmalik@gmail.com.
Abstract:
We describe the case of a 70-year-old man with a long history of inguinal hernia who finally presented to the emergency department with a scrotal enterocutaneous fistula. This is a rare complication of an incarcerated/obstructed direct inguinal hernia. We performed exploratory laparotomy with resection of the perforated small bowel and end-to-end anastamosis of the ileal segment using the purse-string suture at the deep inguinal ring.
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