Fistula in Ano

Ross, Stuart T.

doi:10.1016/s0039-6109(16)44697-9

Cited by 13 publications

(10 citation statements)

References 2 publications

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“…Recurrence is higher (41–44%) among patients with complex fistulae [9,13], which is very similar to the present study. The rate of recurrence or persistence was high (40%) among CD patients, a figure that concurs with other large case series in the literature which report a range of 40–48% [7,11,14].…”

Section: Discussionsupporting

confidence: 88%

“…It may result from excessive separation and cutting of the sphincter during the operation or from muscle damage following infection during abscess formation. Loss of control of any degree occurred in 6% of patients in our series (four non‐CD and one CD patient), a somewhat lower rate than that of 8–14% reported in the literature [13,14]. It is possible that this difference stems from the fact that all the patients in our series were operated on by an experienced colorectal surgeon.…”

Section: Discussioncontrasting

confidence: 52%

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Long‐term outcome of loose seton for complex anal fistula: a two‐centre study of patients with and without Crohn’s disease

et al. 2010

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 52%

Long‐term outcome of loose seton for complex anal fistula: a two‐centre study of patients with and without Crohn’s disease

et al. 2010

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“…[Key words: Actinomycosis; Anal fistula; Antibiotics; Diabetes mellitus; Diagnosis; Fistulotomy; Fistulectomy; HIV; Perianal mass lesion; Sulfur granules] M ost cases of anal abscess are caused by cryptitis and invasion of the surrounding tissues by a mixed colonic flora. 1 As a rule, no culture is obtained after incision of the abscess and antibiotics are only required in case of widespread, local or generalized sepsis. Resection specimens at the time of unroofing the abscess are rarely sent for pathologic examination.…”

mentioning

confidence: 99%

Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

Coremans¹,

Margaritis²,

Poppel³

et al. 2005

Diseases of the Colon &Amp; Rectum

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Primary perianal actinomycosis is rare. Sporadic cases, with lesions varying in extent have been reported. The infection is caused by the bacterium Actinomyces, which often is a saprophyte. Male gender and diabetes are risk factors, but the exact pathogenic mechanism remains speculative. The diagnosis is a challenge and often delayed, with a protracted history of masses and sinuses extending into the gluteal and genital region. The treatment, a combination of surgery and antibiotics, is poorly standardized. We report three cases and compare their characteristics to those of published cases, found by a computerized literature search (1968-2002). The lesions, a simple fistula-in-ano or a mass, were diagnosed in an early stage in all three patients. The infection always spread into the scrotum. There were no risk factors other than gender, except in one patient. The diagnosis was suspected by the observation of draining sulfur granules and promptly confirmed by histology in the three cases. All patients healed with antibiotics in addition to simple surgical procedures. Treatment consisted of amoxicillin for two weeks in two cases and more extended antimicrobial treatment in the third. These findings are contrasting with the classic picture of perianal actinomycosis. It is concluded that perianal actinomycosis can occur in the absence of risk factors and that early diagnosis requires a high degree of suspicion. An infection with Actinomyces should be suspected in the presence of lesions containing watery purulent material with sulfur granules. The indication for extended antibiotherapy combined with sphincter damaging surgery may need to be revised in the presence of early detection.

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“…According to the literature, the prevalence of fistula in ano is 8.6 per 100,000 of the population with a preponderance of males (men, 12.3/100,000 vs. women, 5.6/100,000) [19]. Data also show that the mean age of patients is around 38.3 years [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

The distribution of the anal glands and the variable regional occurrence of fistula-in-ano: is there a relationship?

2010

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Fistula in Ano

Cited by 13 publications

References 2 publications

Long‐term outcome of loose seton for complex anal fistula: a two‐centre study of patients with and without Crohn’s disease

Long‐term outcome of loose seton for complex anal fistula: a two‐centre study of patients with and without Crohn’s disease

Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

The distribution of the anal glands and the variable regional occurrence of fistula-in-ano: is there a relationship?

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