TY - JOUR AU - Ohene-Yeboah, M. AB - Hernia (2011) 15:455–457 DOI 10.1007/s10029-010-0672-1 CASE R E POR T Entero-scrotal Wstula in a Ghanaian adult: a case report of the spontaneous rupture of a neglected strangulated inguinal hernia M. Ohene-Yeboah Received: 4 March 2010 / Accepted: 23 April 2010 / Published online: 18 May 2010 © Springer-Verlag 2010 Introduction Case report Following years of persistent underfunding and inadequate A 49-year-old yam farmer reported to the Komfo Anokye health infrastructure development, the health system in Teaching Hospital (KATH) emergency department with a Ghana is weak and unable to provide for the general and 4-week history of a discharging mass on the left hemi-scrotum. speciWc health care needs of the people [1]. In addition, due For nearly 7 years before presentation, he has been aware of a to the considerable morbidity and mortality from communi- mass in the left groin, which often disappeared when he lay cable diseases such as malaria, tuberculosis, HIV and mal- down. The mass was most uncomfortable when he worked on nutrition, as well as the lack of trained surgeons, the acute the farm. A week before presentation, the mass became very and chronic surgical needs of many people remain unsatis- painful and would not disappear, TI - Entero-scrotal fistula in a Ghanaian adult: a case report of the spontaneous rupture of a neglected strangulated inguinal hernia JF - Hernia DO - 10.1007/s10029-010-0672-1 DA - 2010-05-18 UR - https://www.deepdyve.com/lp/springer-journals/entero-scrotal-fistula-in-a-ghanaian-adult-a-case-report-of-the-E7ZBUvgOx8 SP - 455 EP - 457 VL - 15 IS - 4 DP - DeepDyve ER -