Fistulas-in-ano represent the squelae of perianal abscesses in up to 50% of cases. The two essential goals in the treatment of anal fistulas are to eliminate the primary fistula opening and any associated tracts and secondary openings, and avoid any detriment in fecal continence. No single technique exists that is appropriate for the management of all fistulas. With this in mind, a review of th...

Fistula in ano commonly develops as a chronic sequela to an asymptomatic or symptomatic abscess in an anal canal gland, i.e. cryptoglandular in origin [1]. It occurs in upto one third of patients who undergo drainage of an anorectal abscess [2]. Complex, recurring fistulas could develop secondary to trauma, infection, radiation or chronic granulomatous infections (tuberculosis, actinomycosis) [3].

OBJECTIVE This study aimed to investigate the main points of preventing anastomotic fistula formation after low-position Dixon operation. METHODS From September 2004 to October 2007, our department continuously conducted 146 cases of low-position Dixon operations. The operation mode involved transabdominal radical resection based on total mesorectal excision for all cases. Except for tumor in...

We describe a patient with possible Waardenburg syndrome associated with anal atresia and oesophageal atresia with tracheooesophageal fistula. Three other published cases with atretic gastrointestinal anomalies associated with the Waardenburg syndrome are reviewed. We conclude that the association between atretic lesions of the gastrointestinal tract and the Waardenburg syndrome may be a signif...

Mammillary fistula (MF), or Zuska’s disease, is a recognized and well-documented clinical entity. Among the many articles on MF, none makes a comment on, much less a survey of, extramammary physical findings, although authors from Zuska onward have noted the similarity of MF to anal fistula in presentation and treatment. In the cases presented here, we noted hidradenitis suppurativa (HS) lesion...

CONTEXT Wide varieties of approaches are employed in dealing with low anal fistula. However, the simple method of laying open the fistula tract (fistulotomy) is still considered to be the favored one. MATERIALS AND METHODS A modified approach to the procedure of fistulotomy is discussed. This study describes the procedure, which used a technique of radiofrequency surgery, and its outcome in 2...

Objective. To determine the fecal incontinence and recurrence rate in patients with complex fistula in ano managed with cable tie seton at a tertiary care teaching hospital. Methods. This is a prospective case series of patients with complex anal fistula i.e. recurrent fistula or encircling >30% of external anal sphincter, managed with cable tie seton from March 2003 to March 2009. Patients wer...

Abscess and perirectal fistulas are common in humans but not so in animals. Fistulas located in tissues surrounding the anus are usually described in the course of furunculosis in dogs. This study presents the case of a one-year-old cat in which two rectocutaneous fistulas had formed. This process was a result of the chronic inflammation of tissues around the base of the tail due to the drainag...

VACTERL association is a rare disorder with various congenital malformations. The aetiology remains unknown. Combination of at least three congenital anomalies of the following criteria is required for diagnosis: vertebral defects, anal atresia, cardiac anomalies, tracheo-esophageal fistula, renal anomalies, and limb defects. The first case was 1-day old male neonate with multiple congenital an...

A 40-year-old man underwent anal exploration due to an ischiorrectal abscess. Drainage of the abscess and instillation of hydrogen peroxide (HPO) to evidence any perianal fistula was performed. In the forth postoperative day the patient presents fever accompanied by a painful palpable mass in the right iliac fossa (RIF). Laboratory studies revealed elevated white blood count with neutrophilia.