Spontaneous scrotal faecal fistula in infant: A case report and literature review

A one month old infant presented with an irreducible right inguino-scrotal swelling and faecal discharge from the scrotum for a week. Inguinal exploration revealed an incarcerated right inguinal hernia containing loop of small intestine, Meckel's diverticulum and a perforation of the small intestine measuring 3 cm. Resection of part of ileum containing the diverticulum and perforation was done and end-to-end anastomosis was performed. Spontaneous intestinal - scrotal fistula from incarcerated inguinal hernia in neonates and infants is a rare occurrence and hitherto only seven such cases have been reported in the world literature.