+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

Pilonidal disease mimicking anterior anal fistula and associated with posterior anal fistula: a two-step surgery. Case report

Pilonidal disease mimicking anterior anal fistula and associated with posterior anal fistula: a two-step surgery. Case report

Il Giornale di Chirurgia 38(6): 313-317

ISSN/ISBN: 0391-9005

PMID: 29442064

Anal fistula is a common disease originated from abscess according the cryptoglandular theory. A rare etiology is the pilonidal disease. In our case we observed a pilonidal disease mimicking an anterior perianal fistula, associated with another posterior anal fistula. A 36-year old man was referred to our department with an anal fistula with an anterior opening. Despite the clinical examination and the endoanal ultrasound, only during the surgery we discovered the origin of the anterior fistula from a misdiagnosed pilonidal sinus. There was also a posterior anal fistula in communication with the same abscess of the anterior one. We performed a two-step surgery with a first fistulectomy of the anterior tract, a drainage of abscess and the positioning of a seton for the posterior fistula. After about one month and the fall of the seton we evaluate the good healing of posterior anal fistula and excised the residual pilonidal sinus. This misdiagnosed pilonidal disease created in our clinical report a true challenge. Our goal was to eliminate as much disease as possible, but also to avoid major complications or recurrences. We refused an aggressive approach and chose a two-step surgery, with in the first approach not only a demolitive time but also a reconstruction to facilitate healing, and in the second time the complete eradication of the pathology.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 065409274

Download citation: RISBibTeXText

Related references

Treating anal fistula with the anal fistula plug: case series report of 12 patients. Electronic Physician 8(4): 2304-2307, 2016

Pilonidal sinus with an anal canal fistula. Report of a case. Diseases of the Colon and Rectum 31(12): 965-967, 1988

Treatment of Complex Anal Fistula by Video-Assisted Anal Fistula Treatment Combined with Anal Fistula Plug: A Single-Center Study. Surgical Innovation 2021: 1553350621992924, 2021

Anal fistula plug versus surgeon's preference for surgery for trans-sphincteric anal fistula: the FIAT RCT. Health Technology Assessment 23(21): 1-76, 2019

A multicenter randomized controlled clinical trial of Ligation of the Intersphincteric Fistula Tract Plus Bioprosthetic Anal Fistula Plug in the treatment of chronic anal fistula. Zhonghua Yi Xue Za Zhi 95(42): 3454-3457, 2015

Video-assisted anal fistula treatment combined with anal fistula plug for treatment of horseshoe anal fistula. Journal of International Medical Research 49(1): 300060520980525, 2021

Long-term effect of anal fistula plug treatment on postoperative anal function in patients with trans-sphincteric perianal fistula and risk factors associated with anal function. Zhonghua Wei Chang Wai Ke Za Zhi 23(8): 774-779, 2020

Pilonidal disease anal fistula and its treatment. Medizinische Welt 6: 230-232, 1971

Anal lesion resulting from implantation of viable tumour cells in a pre-existing anal fistula. A case report. Acta Chirurgica Belgica 102(3): 212-213, 2002

Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula. Zhonghua Wei Chang Wai Ke Za Zhi 21(7): 793-797, 2018

Mo1702 Outpatient Anal Exploration and Fistula Treatment in Patients With Symptomatic Peri-Anal Crohn's Disease. Preliminary Report. Gastroenterology 144(5): S-1094-S-1095, 2013

Hidradenitis suppurativa; its confusion with pilonidal disease and anal fistula. American Journal of Surgery 77(3): 349-351, 1949

Ligation of Intersphincteric Fistula Tract vs Ligation of the Intersphincteric Fistula Tract Plus a Bioprosthetic Anal Fistula Plug Procedure in Patients With Transsphincteric Anal Fistula: Early Results of a Multicenter Prospective Randomized Trial. Annals of Surgery 264(6): 917-922, 2016

The OTSC® Proctology clip system for anorectal fistula closure: the 'anal fistula claw': case report. Minimally Invasive Therapy and Allied Technologies: Mitat: Official Journal of the Society for Minimally Invasive Therapy 21(4): 307-312, 2012

Skin grafting in the treatment of extensive pilonidal disease and anal fistula. American Surgeon 17(12): 1137-1144, 1951