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.
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