Erschienen in:
01.10.2014 | Case Report
Chronic non-healing sinus manifesting in episiotomy scar: hidden fistula-in-ano
verfasst von:
Gowri Dorairajan, HimaBindu N
Erschienen in:
International Urogynecology Journal
|
Ausgabe 10/2014
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Abstract
A non-healing sinus manifesting in an episiotomy scar after it has healed is rare. We report one such woman. There were no underlying risk factors like third- or fourth-degree tear or inflammatory bowel disease. In spite of previous attempted exploration the problem had persisted. Examination of the case under anaesthesia revealed it to be a low fistula-in-ano. The methodical evaluation and management of the case is detailed. Fistulectomy completely cured the patient. Most of these patients present to obstetricians and gynaecologists. Awareness and a high index of suspicion of communication with the anorectal canal are important. A team approach with the colorectal surgeon would help in better preoperative counselling, planned evaluation and definitive procedure to completely cure the patient.