title: A complicated true sliding hernia presenting as a spontaneous enteroscrotal fistula in an adult.
abstract: A 26-year-old man presented with an irreducible right inguino-scrotal swelling and fecal discharge from the scrotum. Exploratory laparotomy and inguinal exploration revealed that the caecum, appendix, and terminal ileum had herniated into the scrotum and had perforated through the skin forming a fecal fistula. The herniated gangrenous bowel was resected and a stoma fashioned. Spontaneous entero-scrotal fistulae are very rare and eight pediatric cases have been mentioned in literature till date. We report the first case of true sliding hernia presenting as spontaneous entero-scrotal fistula in an adult.
authors.affiliation: Department of Surgery, Chhatrapati Shahuji Maharaj Medical University (Formerly King George's Medical University), Lucknow, India.
authors.forename: Saravana
authors.initials: S
authors.lastname: Rajamanickam
authors.forename: Ashok
authors.initials: A
authors.lastname: Yadav
authors.forename: Anurag
authors.initials: A
authors.lastname: Rai
authors.forename: Devendra
authors.initials: D
authors.lastname: Singh
authors.forename: Abhinav Arun
authors.initials: AA
authors.lastname: Sonkar