Spontaneous scrotal faecal fistula in a Nigerian adult: review of literature and proposal for management protocol

We report a 28-year-old Nigerian who presented with four days history of spontaneous scrotal ulceration and faecal discharge. This symptom was preceded by features of intestinal obstruction which got relieved after the faecal discharge from the scrotum. He was resuscitated and had segmental resection and anastomosis of the ileum, debridement of the scrotal skin for secondary closure and delayed repair of the hernia