• Abdul Samad
  • Gul Muhammad Sheikh


A 25 years old young man presented with the right scrotal and supra-pubic fecal fistulae due to thespontaneous bursting of a congenital inguinal hernia. This hernia remained obstructed andstrangulated for about ten days before getting ruptured. Resection and end to end anastomosis ofinvolved ileum was done. The literature search could reveal only five such cases in pediatric agegroup and this complication is considered to be much rarer among the adult population. This casereport is being presented here in view of the extreme rarity of this complication in the adult agegroup.Keywords: Inguinal hernia, Congenital, Spontaneous, Fecal fistula, Incarcerated hernia


Gupta DK, Rohatgi M. Inguinal hernia in children: an

Indian experience. Pediatr Surg Int 1993;8: 466-8.

Rattan KN, Garg P. Neonatal scrotal faecal fistula.

Pediatr Surg Int. 1998; 13: 440-1.

J Ayub Med Col Abbottabad 2005;17(4)

Kasat LS, Waingankar VS, Kamat T, Anilkumar,

Bahety G, Meisheri IV. Spontaneous scrotal faecal

fistula in an infant. Pediatr Surg Int. 2000; 16: 443-444.

Leslie MD, Slater ND, Smallwood CJ. Small bowel

fistula from a Littre’s hernia. Br J Surg. 1983;70(4):

Ameh EA, Awotula OP, Amoah JN. Spontaneous

scrotal faecal fistula in infants. Pediatr Surg Int 2002;

: 524-5.

Udofot SU. Multiple faecal and urinary fistulae as a

complication of native treatment of inguinal hernia.

Trop Geogr Med 1991; 43(1-2):105-7.

Klein AM, Banever TC. Enterocutaneous fistula as a

postoperative complication of laparoscopic inguinal

hernia repair. Surg Laparosc Endosc 1999;9(1):60-2

Nwabunike TO. Enterocutaneous fistulas in Enugu,

Nigeria. Dis Colon Rectum. 1984; 27(8): 542-4.

Thomas PA. Rupture of inguinal hernia. J Indian Med

Assoc 1966;46(5): 258-9.