Complex anal fistula involving male genital tract: a new diagnostic entity.
BMJ Case Rep
; 12(10)2019 Oct 23.
Article
em En
| MEDLINE
| ID: mdl-31645379
ABSTRACT
We present three male patients who had a rare presentation of anal fistula reaching the genital tract. Patient 1 a 44-year-old diabetic man presented initially to urology clinic complaining of penile and scrotal masses increasing in size for 6 months. Patient 2 a 67-year-old diabetic man presented with chronic sinus discharge from the scrotum. Patient 3 a 37-year-old diabetic man who presented with chronic sinus draining pus-like material from the scrotum for 1 year. Patients 1 and 2 following diagnosis of perianal fistula by MRI fistulography, complete excision of the fistula was done. This required tracking the fistula surgically, a perineal midline incision to release the fistula and excision of the fistula opening in the anal canal. The patients were doing well postoperative and no recurrence of fistula at 1-year follow-up. Patient 3 he refused surgical intervention. Penile mass or scrotal discharge has not been reported to be caused by fistula-in-ano.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças do Pênis
/
Fístula Retal
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article