Spontaneous Scrotal Enterocutaneous Fistula

Abstract

BACKGROUND Management of strangulated inguinal hernias require resection of the gangrenous small bowel loops and end-to-end anastomosis. We are presenting a case of spontaneous scrotal faecal fistula due to strangulated Richter's hernia [1] where we have used a patch of tunica with scrotal inner layer to reinforce the perforated ileum. This procedure has avoided the resection of bowel and also we found useful alternative tissue instead of omental patch.