Pilonidal Sinüsü Taklit Eden Perianal Fistül Olgusu

Year 2023, Volume: 2 Issue: 4, 28 - 31, 30.12.2023

Nazım Ağaoğlu , Mehmet Uluşahin , Serkan Tayar

https://doi.org/10.59518/farabimedj.1263475

Abstract

Pilonidal sinüsü taklit eden bir perianal fistül olgusu sunulmuştur. Fistül tanısı manyetik rezonans görüntüleme (MRG) ile konuldu. Anestezi altında yapılan muayenede Morgagni kriptlerinden probun retrograd manipülasyonu ile sakrokoksigeal bölgedeki dış açıklığa kadar fistül traktının devam ettiği görüldü. Fistül traktı intergluteal yarık seviyesine kadar eksize edildi ve traktın geri kalanı kürete edildi. Hasta 3. aya kadar takip edildi ve fistülün tamamen iyileştiği gözlendi. Bu yazıda perianal fistülün sakrokoksigeal bölgeye kadar uzanarak pilonidal sinüsü taklit eden nadir bir formuna dikkat çekmeyi amaçladık. Olağandışı yerleşimli perianal fistülü pilonidal sinüsten ayırdetmek bazen zor olabilir.

Keywords

Perianal, fistül, pilonidal sinüs

Supporting Institution

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Thanks

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A Case of Perianal Fistula Mimicking Pilonidal Sinus

Abstract

A case of perianal fistula mimicking pilonidal sinus is presented. The fistula was diagnosed with magnetic resonance imaging (MRI) examination and confirmed with examination under anesthesia by retrograde manipulation of the probe at Morgagni crypts and continuity of the tract up to the external opening in in the sacrococcygeal region was confirmed. Tract of the fistula excised down to intergluteal cleft and the rest of the tract curetted. Patient was followed up to 3 months with complete healing of the fistula. In this unusual case we aimed to draw attention to rare presentation of perianal fistula with an external opening located as far as the sacrococcygeal region mimicking pilonidal sinus. Differentiating unusual presentation of perianal fistula from pilonidal disease sometimes is challenging.

Keywords

Perianal, fistula, pilonidal sinus

Project Number

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