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Vol. 96. Issue 7.
Pages 452 (August - September 2018)
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Vol. 96. Issue 7.
Pages 452 (August - September 2018)
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DOI: 10.1016/j.cireng.2018.07.007
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Complex Perianal Fistula
Fístula perianal compleja
Adriana Cavero Ibiricu
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Corresponding author.
, Vicente Simó Fernández, Enrique Pastor Teso, Jorge Arredondo Chaves
Servicio de Cirugía General y del Aparato Digestivo, Complejo Asistencial Universitario de León, León, Spain
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A 60-year-old male with a history of a drained abscess in the right leg consulted for suprapubic and perineal suppuration that had been progressing for over several months. Examination revealed a complex transsphincteric perianal fistula with right and left external openings. Fistulography (Figs. 1 and 2) with contrast material introduced through the abdominal orifice showed evidence of a cavity on the left side of the pelvis measuring 5×2cm with several fistulous tracts towards the perineum that connected with the anus, and another descending towards the root of the right thigh. Surgical treatment included opening the postanal space, ischiorectal drainage and seton placement. The postoperative evolution was favorable with flushing through the external fistulous orifices.

Figure 1
Figure 2

Thanks to my fellow surgeons and the General Radiology Department at the Complejo Asistencial Universitario in León, Spain.

Please cite this article as: Cavero Ibiricu A, Fernández VS, Pastor Teso E, Arredondo Chaves J. Fístula perianal compleja. Cir Esp. 2018;96:452.

Copyright © 2018. AEC
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