Abstract
The results of a retrospective clinico-pathological study of 11 cases of fistula-in-ano (FIA) and 10 cases of peri-anal abscess in children are presented. The overwhelming male predominance is confirmed. The early onset of FIA and the high percentage of bilateral and multiple fistulae support a congenital aetiology. Persistent inflammatory changes around anal glandular epithelium lining the fistulous tract may be important in the pathogenesis and may also account for metaplasia, ultimate destruction, and disappearance of the epithelium in some cases. Perianal abscesses may antedate and progress into FIA.
This is a preview of subscription content, log in via an institution to check access.
References
Brem H, Guttman FM, Laberge JM, Doody D (1989) Congenital anal fistula with normal anus. J Pediatr Surg 24: 183–185
Duhamel J (1985) Anal fistulae in childhood. Am J Proctol 26: 40–43
Eisenhammer S (1956) The internal anal sphincter and the anorectal abscess. Surg Gynecol Obstet 103: 501–506
Fitzgerald RJ, Harding B, Ryan W (1985) Fistula-in-ano in childhood: a congenital etiology. J. Padiatr Surg 20: 80–81
Parkash S, Veliath AJ, Chandrasekaran V (1982) Ectopic gastric mucosa in duplication of the rectum presenting as perianal fistula. Dis Colon Rectum 25: 225–226
Parks AG (1961) Pathogenesis and treatment of fistula-in-ano. Br Med J 5224: 463–469
Pople IK, Ralphs DNL (1988) An aetiology for fistula in ano. Br J Surg 75: 904–905
Shafer AD, McGlone TP, Flanagan RA (1987) Abnormal crypts of Morgagni: the cause of peri-anal abscess and fistula-in-ano. J Pediatr Surg 22: 203–204
Takatsuki S (1976) An etiology of anal fistula in infants. Keio J Med 25: 1–4
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Grant, C.S., Al-Salem, A.H., Anim, J.T. et al. Childhood fistula-in-ano: a clinico-pathological study. Pediatr Surg Int 6, 207–209 (1991). https://doi.org/10.1007/BF00176070
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00176070