Fournier gangrene is a very rare and a rapidly progressing, polymicrobial necrotizing faciitis or myonecrosis of the perineal, perianal and genital regions, with a high mortality rate. Infection is associated with superficial traum, urological and colorectal diseases and operations. The most commonly found bacteria are Escherichia coli followed by Bacteroides and streptococcal species. Diabetes...

The fistula in ano or perianal is one of the common fistulae noted routine surgical and clinical practice. It has tendency to reoccur even after surgery, which due missed pathological tract tissue during exploration. An adequate pre-surgical mapping a necessity for giving an excellent outcome choosing appropriate technique treating various fistulas.

BACKGROUND Fistula-in-ano when complicated by Fournier's gangrene is an unusual finding and always carries high morbidity. This study details our experience in managing 10 cases. METHODS OF STUDY Case files of all patients managed in University of Maiduguri Teaching Hospital and Federal Medical Center of Yola and Gombe from January, 2007 to December, 2011 were retrieved from Medical Record De...

Aims and objectives: To evaluate the diagnostic accuracy of Magnetic Resonance Fistulography in the assessment of the perianal fistulae. Background: The success of the surgical approach for perianal fistulae treatmentis closely associated with the preoperative assessment. MR imaging plays a key role in describing the fistulae in relation to the anatomy of the perianal region. This has been cate...

Background: Perianal fistula is an abnormal tract connecting the anal canal and perianal skin. Precise delineation of tracts necessary before surgery to know anatomical details in order prevent recurrences incontinence. We studied efficacy percutaneous (perianal) instillation aqueous jelly versus gadolinium on magnetic resonance (MR) fistulography compared intra-operative findings. Materials Me...

Carcinoma within a long-standing fistula-in-ano is rare and may be defined by specific neoplastic involvement of the fistulous track in the absence of rectal mucosal carcinoma. The presence of a carcinoma of mucinous histology occurring synchronously in the perianal region and the colon is exceptionally rare. We present a case with a review of the literature concerning its aetiopathogenesis and...

This study evaluates the results of endorectal Ileal J Pouch Anal Anastomosis (IJPAA) in 13 patients with Ulcerative colitis and 7 patients with familial adenomatous polyposis in 6 years in Emam Hosein Hospital. In the last, for this patients permanent Ileostomy was performed, but with (IJPAA) operation permanent Ileostomy is abandoned. Two patients, total colectomy rectal mocosectomy and ilea...

AIM To construct an algorithm of the treatment tactics which would include modern conservative and surgical methods. MATERIALS AND METHODS Endoscopy under anesthesia, endorectal ultrasonography, histological and radiological examinations, MRT. In the last 22 years, 310 patients with Crohn's disease (CD) have been treated in our clinic of which 144 had perianal complications (60 fissure, 52 fi...