Anorectal fistulas are common maladies. The challenge in therapy of perianal fistulas balances between the best possible cure and the preservation of continence. Complex fistulous disease challenges even the most experienced surgical specialists. The management options in these groups of patients are inadequate, with treatment often requiring multiple procedures, causing a risk for continued sy...

Anal fistula is a common benign condition that typically describes a miscommunication between the anorectum and the perianal skin, which may present de novo, or develop after acute anorectal abscess. Athough anal fistulae are benign, the condition can still negatively influence a patient's quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. D...

Mucinous adenocarcinoma arising in chronic fistula-in-ano is rare, and diagnosing it at an early stage is difficult. The role of endoanal ultrasonography in diagnosing the condition has not been discussed in the study. Herein, we report three cases of mucinous adenocarcinoma arising from anal fistulas in which endosonography played an important role in diagnosing malignant change. Three male pa...

Address correspondence to: Dr. Raymond K. Cross, 100 North Greene Street, Lower Level, Baltimore, MD 21201; Tel: 410-706-3387; Fax: 410-706-4330; E-mail: [email protected] Inflammatory bowel disease (IBD) is associated with several dermatologic manifestations, of which the most commonly cited are erythema nodosum and pyoderma gangrenosum. Pyoderma faciale (PF) is a dermatologic cond...

To the Editor: Crohn’s disease (CD) is a chronic inflammatory bowel disease with variable clinical presentation. An aggressive fistulizing pattern is possible and over one-third of CD patients will experience recurring fistulas during their disease course.1 Fistulization is a manifestation of the transmural nature of this disease,2 but fistulas to the epidural space are quite unusual.3 Herein w...

Background: This article aims to review the role of magnetic resonance imaging (MRI) fistulography in evaluation perianal fistula along with its concordance clinical examination and impact on surgical intervention.Methods: A retrospective study 61 patients who underwent surgery for anal RMLIMS collected from database January 1, 2017 September, 2021Results: The showed a significant MRI contribut...

BACKGROUND The aim of this study was to provide an overview of the literature on Tailgut cysts (TGCs) arising in the presacral space. MATERIALS AND METHODS We present a new case of presacral TGC and a literature review of English-language studies of presacral TGCs, accessed through the PubMed and Google Scholar databases. Keywords used were presacral or retrorectal tailgut cyst, presacral muc...

Perianal fistulization is an inflammatory condition that affects the region around the anal canal, causing significant morbidity and often requiring repeated surgical treatments due to its high tendency to recur. To adopt the best surgical strategy and avoid recurrences, it is necessary to obtain precise radiologic information about the location of the fistulous track and the affected pelvic st...

Background: Fistula-in-ano is an abnormal tract that usually connects rectal mucosa and perianal skin thus accounting upto 90% cases with incidence of 5.6/100.000 in women while 12.3/100.000 men. Aim: To determine the frequency healing patients high lying fistlua ano undergoing VAAFT. Study design: Cross-sectional study. Methodology: Patients (n=153) were enrolled during All had DRE proctoscopy...