An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material

While the majority of fistulas in ano result from infection of the anal crypts, complex, recurrent, and/or nonhealing fistulas should always raise the suspicion of a chronic underlying condition. In this paper, we present a 30-year-old male patient with a diagnosis of a complex suprasphincteric fist...

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Main Authors: Melih Paksoy, Volkan Ozben, Fadil Ayan, Arife Simsek
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/189846
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author Melih Paksoy
Volkan Ozben
Fadil Ayan
Arife Simsek
author_facet Melih Paksoy
Volkan Ozben
Fadil Ayan
Arife Simsek
author_sort Melih Paksoy
collection DOAJ
description While the majority of fistulas in ano result from infection of the anal crypts, complex, recurrent, and/or nonhealing fistulas should always raise the suspicion of a chronic underlying condition. In this paper, we present a 30-year-old male patient with a diagnosis of a complex suprasphincteric fistula caused by a surgical thread left behind after an orthopedic hip operation performed sixteen years ago. Partial fistulectomy, extraction of the foreign material, and debridement procedures were performed. Few cases of such complex fistulas in ano due to foreign materials have been described in the literature. After careful history-taking, meticulous physical examination under general anesthesia should be done in order to deal with this rare type of fistula.
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spelling doaj-art-cd56878c876a446580e99e00eb5531a12025-02-03T06:10:56ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/189846189846An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical MaterialMelih Paksoy0Volkan Ozben1Fadil Ayan2Arife Simsek3Department of General Surgery, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, Fatih 34098, Istanbul, TurkeyDepartment of General Surgery, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, Fatih 34098, Istanbul, TurkeyDepartment of General Surgery, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, Fatih 34098, Istanbul, TurkeyDepartment of General Surgery, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, Fatih 34098, Istanbul, TurkeyWhile the majority of fistulas in ano result from infection of the anal crypts, complex, recurrent, and/or nonhealing fistulas should always raise the suspicion of a chronic underlying condition. In this paper, we present a 30-year-old male patient with a diagnosis of a complex suprasphincteric fistula caused by a surgical thread left behind after an orthopedic hip operation performed sixteen years ago. Partial fistulectomy, extraction of the foreign material, and debridement procedures were performed. Few cases of such complex fistulas in ano due to foreign materials have been described in the literature. After careful history-taking, meticulous physical examination under general anesthesia should be done in order to deal with this rare type of fistula.http://dx.doi.org/10.1155/2010/189846
spellingShingle Melih Paksoy
Volkan Ozben
Fadil Ayan
Arife Simsek
An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
Case Reports in Medicine
title An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
title_full An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
title_fullStr An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
title_full_unstemmed An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
title_short An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material
title_sort atypical etiology of suprasphincteric fistula a forgotten surgical material
url http://dx.doi.org/10.1155/2010/189846
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