Scrotal enterocutaneous fistula: a rare initial presentation of inguinal hernia

Our objective was to determine the accuracy of laparoscopic evaluation to detect a contralateral patent processus vaginalis (CPPV) at initial presentation for inguinal hernia (IH) repair and the rate of CPPV relative to age, sex, and initial hernia side. We performed a 5-year retrospective review of 1580 pediatric patients with unilateral IH in which surgeons selectively used laparoscopy to evaluate for a CPPV. There were 1205 boys and 303 girls; 980 (65%) presented with right IH (RIH) and 528 (35%) with left IH (LIH). Laparoscopic evaluation was performed in 459 (47%) patients presenting with RIH and 225 (43%) patients presenting with LIH. Laparoscopic evaluation was positive for CPPV in 32 per cent of patients with RIH and 42 per cent of patients with LIH ( P = 0.0168). CPPV was associated with prematurity ( P = 0.0003) and age younger than 6 months ( P = 0.0001) but not with sex ( P = 0.55). The future contralateral occurrence rate was 1.6 per cent and recurrence rate 0.2 per cent. This study supports the accuracy of CPPV evaluation by laparoscope Although the rate of CPPV decreases after 6 months of age, girls older than 2 years of age have a significantly higher rate of CPPV than boys, supporting laparoscopic evaluation in older girls.

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Scrotal Enterocutaneous Fistula, a Rare Complication of Inguinal Hernia, Case Report and Literature Review

The Internet Journal of Surgery ◽

10.5580/ec2 ◽

2010 ◽

Vol 25 (2) ◽

Cited By ~ 2

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Literature Review ◽

Rare Complication ◽

Enterocutaneous Fistula

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Inguinal Hernia Repairs in a Rural Setting in East Africa

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i1731023 ◽

2021 ◽

pp. 13-19

Author(s):

Richard Wismayer

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

East Africa ◽

Enterocutaneous Fistula ◽

Signs And Symptoms ◽

Morbidity And Mortality ◽

Rural Setting ◽

Male Predominance ◽

Inguinal Hernias ◽

Rural Africa

Background: Inguinal hernias are a major cause of morbidity and mortality in the developing world. In resource limited settings in rural Africa the clinical management of inguinal hernias may pose a therapeutic challenge to the surgeon due to the late presentation of this condition and lack of availability and affordability of mesh and laparoscopy. In our environment there is a lack of data and literature regarding the surgical management of inguinal hernias. The purpose of this study was to outline the clinical profile and outcomes among patients undergoing inguinal hernia repairs in our hospital. Methods: A descriptive retrospective study was carried out between 1st April 2008 to the 31st July 2012 on all patients ≥15 years of age that underwent an inguinal hernia repair were eligible in this study. The patients were reviewed on the surgical ward postoperatively and in the surgical out-patients clinic 3 months post-operatively. Data was collected using a pretested questionnaire on the following variables: age, sex, recurrence of hernia, post-operative pain and post-operative complications. Physical examination was used to determine post-operative recurrence and evidence of haematomas, seromas or severe wound sepsis requiring operative intervention. Results: One hundred and fifty eight patients following repair of inguinal hernia using the Modified Bassini technique were analyzed. Mean age was 44.84 years. The male:female ratio was 3.65:1 with male predominance. Emergency inguinal hernia repairs were carried out in 4(2.53%) and the majority of patients, 154(97.47%) were elective inguinal hernia repairs. One(0.63%) mortality and the morbidity included 1(0.63%) seroma, 1(0.63%) haematoma, 1(0.63%) necrotizing fasciitis and 1(0.63%) enterocutaneous fistula. The overall complication rate was 3.16%. Conclusions: In rural Africa patients with inguinal hernias should be encouraged to present early with signs and symptoms of inguinal hernia. Elective hernia repair of inguinal hernias, irrespective of the type of repair, will reduce the morbidity and mortality from this common problem in East Africa.

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Laparoscopic Diagnosis and Treatment of an Enterocutaneous Fistula after Inguinal Hernia Correction

European Journal of Pediatric Surgery ◽

10.1055/s-0029-1243629 ◽

2010 ◽

Vol 20 (05) ◽

pp. 341-341

Author(s):

M. Stommel ◽

A. S. van der Velden ◽

R. Wijnen ◽

M. Wijnen

Keyword(s):

Inguinal Hernia ◽

Enterocutaneous Fistula ◽

Diagnosis And Treatment

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A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula

Case Reports in Surgery ◽

10.1155/2018/3592738 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

K. B. Kouakou ◽

K. I. Anzoua ◽

M. Traore ◽

B. K. I. Leh ◽

A. B. N’Dri ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Rare Complication ◽

Enterocutaneous Fistula ◽

Local Approach ◽

Cutaneous Fistula ◽

Treatment Experience ◽

Lichtenstein Procedure ◽

Rural Africa

Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This “tension-free” technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. The authors report their treatment experience in rural Africa of a late enterocutaneous fistula which aggravated an inguinal hernia repair according to the Lichtenstein procedure. Physiopathology, diagnosis, and treatment of that disease are analyzed in the light of literature.

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A rare case of spontaneous scrotal enterocutaneous fistula as a complication of incarcerated inguinal hernia with review of literature.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.07.4219 ◽

2020 ◽

Vol 27 (07) ◽

pp. 1537-1540

Author(s):

Mohammad Sohail Asghar ◽

Ahmad Kaleem ◽

Sushil Rijal

Keyword(s):

Developing Countries ◽

Inguinal Hernia ◽

Rare Case ◽

Enterocutaneous Fistula ◽

The Other ◽

Indirect Inguinal Hernia ◽

Review Of Literature ◽

Cutaneous Fistula ◽

Incarcerated Inguinal Hernia ◽

Common Problems

Inguinal hernias are one of the most common problems presenting in both adult and pediatric surgical departments. Normally hernia is easy to diagnose and manage. On the other hand if its presence is ignored and surgery is delayed, hernia related morbidity can increase significantly. In developing countries, these complications are seen more often as there is more ignorance, illiteracy, lack of health facilities. We present a rare case of entero cutaneous fistula in scrotum due to a complete indirect inguinal hernia incarceration. There have been very few such cases that have been like this and reported so far.

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