Dear scrotum, please don't ever do this to me. What was the exact condition he had?
I looks ike some inguinal hernia with the intestines stuck and twisted in the scrotum, so they got necrotic. They don't mention intestinal surgery or making a stoma, so I'm not sure...
I once had a patient like that, only without necrosis. With a stetoscope you could hear bowel movements in the scrotum. Was weird, but not that diffcult to fix.