{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T12:02:51Z","timestamp":1780142571046,"version":"3.54.0"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"vor","delay-in-days":149,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Importance<\/jats:title>\n                    <jats:p>Entero\u2010scrotal fistula is an exceptionally rare and severe complication of inguinal hernias in adults. We present the first reported Australian case, highlighting the unique diagnostic challenges of Richter\u2010type hernias, particularly in socially isolated patients, where presentation is often delayed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 71\u2010year\u2010old male with a history of hypertension and chronic alcohol disorder was transferred from a group home with sepsis and a necrotic scrotal ulcer. Computed tomography confirmed a right inguinal hernia with an enterocutaneous fistula originating from the terminal ileum. Intraoperative findings revealed a Richter\u2019s hernia with the antimesenteric wall of the terminal ileum incarcerated within the deep inguinal ring, leading to a spontaneous fistula through the scrotal wall. Management involved an ileocecal resection with side\u2010to\u2010side anastomosis and debridement of necrotic scrotal tissue. Due to gross fecal contamination, a primary tissue repair was performed rather than mesh placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Discussion<\/jats:title>\n                    <jats:p>Spontaneous fistulization typically results from prolonged incarceration. In this case, the Richter\u2010type hernia allowed for intermittent bowel patency, which masked typical obstructive symptoms and delayed surgical intervention. In the setting of gross contamination (Type IV), primary suture repair\u2014such as the \u201cNylon Darn\u201d technique\u2014is preferred over synthetic mesh to prevent prosthetic infection and chronic wound complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the importance of considering socioeconomic factors and atypical hernia types in surgical delays. In contaminated fields, primary tissue repair remains the gold standard to ensure a safe recovery and optimal patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cris\/9362137","type":"journal-article","created":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T11:37:56Z","timestamp":1780141076000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Entero\u2010Scrotal Fistula: A Rare Complication of Inguinal Hernia in a Developed Country\u2014A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2310-7321","authenticated-orcid":false,"given":"Immanuella","family":"Owusu-Ansa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-0088","authenticated-orcid":false,"given":"Femi E.","family":"Ayeni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-9227","authenticated-orcid":false,"given":"Daniel","family":"Vagg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5928-2597","authenticated-orcid":false,"given":"Senarath","family":"Edirimanne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,30]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14746-0"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1404068"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-002-0098-5"},{"key":"e_1_2_13_4_2","first-page":"1540","article-title":"Richter\u2019s Hernia and Sir Frederick Treves: An Original Clinical Experience","volume":"24","author":"Steinke W.","year":"2000","journal-title":"World Journal of Surgery"},{"key":"e_1_2_13_5_2","first-page":"654","article-title":"Spontaneous Scrotal Enterocutaneous Fistula as a Presentation of Inguinal Hernia","volume":"15","author":"Samad A.","year":"2005","journal-title":"Journal of the College of Physicians and Surgeons Pakistan"},{"key":"e_1_2_13_6_2","first-page":"1653","article-title":"Spontaneous Enterocutaneous Fistula","volume":"88","author":"Perrotti M.","year":"2022","journal-title":"The American Surgeon"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rju056"},{"key":"e_1_2_13_8_2","first-page":"124","article-title":"Spontaneous Scrotal Enterocutaneous Fistula in a 65-Year-Old Man","volume":"45","author":"Amoah M.","year":"2011","journal-title":"Ghana Medical Journal"},{"key":"e_1_2_13_9_2","first-page":"544","article-title":"Spontaneous Scrotal Faecal Fistula in a Nigerian Adult: Review of Literature and Proposal for Management Protocol","volume":"93","author":"Arogundade A.","year":"2016","journal-title":"East African Medical Journal"},{"key":"e_1_2_13_10_2","first-page":"791","article-title":"Scrotal Fecal Fistula due to Enteric Perforation in Inguinal Hernia","volume":"7","author":"Arora B.","year":"2016","journal-title":"International Journal of Case Reports and Images"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000373"},{"key":"e_1_2_13_12_2","volume-title":"Sabiston Textbook of Surgery","author":"Townsend C. M.","year":"2021"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2025.111093"},{"key":"e_1_2_13_14_2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/S0140-6736(58)91027-4","article-title":"Results of Nylon Darn Repair of Hernia","volume":"1","author":"Moloney G. E.","year":"1958","journal-title":"Lancet"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/9362137","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cris\/9362137","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/9362137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T11:37:58Z","timestamp":1780141078000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cris\/9362137"}},"subtitle":[],"editor":[{"given":"Semonti","family":"Nandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cris\/9362137"],"URL":"https:\/\/doi.org\/10.1155\/cris\/9362137","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9362137"}}